Individual
KELLI A TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
935 FAIRYSTONE PARK HWY, STANLEYTOWN, VA 24168-3014
(276) 622-3636
(276) 627-0060
Mailing address
PO BOX 1416, STUART, VA 24171-1416
(276) 694-0124
(276) 694-0125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205316
VA
225100000X
Physical Therapist
P11494
NC
Other
Enumeration date
05/19/2010
Last updated
11/20/2024
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