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Individual

MRS. KELLI FRYE PUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, CMT

Contact information

Practice address
290 MASSIE RD, MCCUE CENTER, ROOM 112, CHARLOTTESVILLE, VA 22904-4834
(434) 982-5450
(424) 982-5470
Mailing address
988 SUTTON CT, CHARLOTTESVILLE, VA 22901-3757
(434) 249-3952

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126000488
VA
225700000X
Massage Therapist
Primary
0019003474
VA

Other

Enumeration date
05/10/2007
Last updated
09/11/2025
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