Individual
KELSEY LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT-C
Contact information
Practice address
603 W GRAND RIVER AVE STE C, BRIGHTON, MI 48116-2390
(810) 534-7004
Mailing address
603 W GRAND RIVER AVE STE C, BRIGHTON, MI 48116-2390
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
09/09/2022
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