Individual
KELLEY K HAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A., A.T.C.
Contact information
Practice address
1152 SNIDER ST, MARION, VA 24354-4216
(276) 782-9696
(276) 782-9886
Mailing address
624 MUSSERS MILL RD, CROCKETT, VA 24323-3039
(276) 686-5491
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601430
VA
2255A2300X
Athletic Trainer
0126000330
VA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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