Individual
MS. KELSIE GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
990 WAREHOUSE RD APT 10402, ORLANDO, FL 32803-3524
(850) 509-3397
Mailing address
990 WAREHOUSE RD APT 10402, ORLANDO, FL 32803-3524
(850) 509-3397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5634
FL
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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