Individual
MRS. KELLEY LYNN GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1305 BOILING SPRINGS RD, GREER, SC 29650-4139
(864) 458-7566
Mailing address
102 SUMMER DR, EASLEY, SC 29642-8255
(864) 517-7733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
225200000X
SC
Other
Enumeration date
10/10/2006
Last updated
10/12/2016
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