Individual
CHASE MARTIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 SAND HILL RD, CANDLER, NC 28715-8938
(828) 670-7726
Mailing address
760 OLD LOGGERS WAY, SAINT AUGUSTINE, FL 32086-4316
(904) 540-4663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P22521
NC
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/21/2019
Last updated
08/27/2025
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