Individual
SCOTT K KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
211 E 3RD AVE, MANCOS, CO 81328-9079
(970) 533-9031
Mailing address
211 E 3RD AVE, MANCOS, CO 81328-9079
(970) 533-9031
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CO
Other
Enumeration date
01/03/2016
Last updated
01/03/2016
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