Individual
MS. KELLY RAE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4202 E FOWLER AVE STOP ATH100, TAMPA, FL 33620-8455
(813) 974-0660
(813) 974-8541
Mailing address
5445 SHELL RD, LAND O LAKES, FL 34638-3341
(813) 996-3504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2107
FL
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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