Individual
MRS. KELLI FRYE PUGH
Active
Individual
MRS. KELLI FRYE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CMT
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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