Individual
KELSEY DESHAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
535 IRVING SCHOTTENSTEIN DR, COLUMBUS, OH 43210-1044
(614) 292-1165
Mailing address
2344 ANTIGUA DR APT 3A, COLUMBUS, OH 43235-6148
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005429
OH
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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