Individual
KELSEY VIOLET HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, CES
Contact information
Practice address
6000 N TERMINAL PKWY, ATLANTA, GA 30320-7400
(404) 773-7480
Mailing address
2931 PANTHERSVILLE RD APT D115, DECATUR, GA 30034-3025
(417) 342-0074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003265
GA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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