Individual
DR. ASHLEI HENDERSON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1294 GA-54, FAYETTEVILLE, GA 30214
(770) 515-2021
Mailing address
1294 GA-54, FAYETTEVILLE, GA 30214
(770) 515-2021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009939
GA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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