Individual
KELLY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18305 BLUE HERON POINTE DR, NORTHVILLE, MI 48168-9261
(248) 921-2298
Mailing address
18305 BLUE HERON POINTE DR, NORTHVILLE, MI 48168-9261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2016
Last updated
05/02/2017
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