Individual
KELLY L SALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
20500 W 13 MILE RD, BEVERLY HILLS, MI 48025-3830
(248) 203-3590
Mailing address
20500 W 13 MILE RD, BEVERLY HILLS, MI 48025-3830
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001007
MI
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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