Individual
KELLY SVISTOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
48380 US 52 N, RICHFIELD, NC 28137-0960
(704) 463-3202
(704) 463-5051
Mailing address
PO BOX 960, MISENHEIMER, NC 28109-0960
(704) 463-3202
(704) 463-5051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2999
NC
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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