Individual
KELLY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1300 BRUSHY CREEK RD, TAYLORS, SC 29687-4095
(864) 355-2829
Mailing address
403 WINDWARD WAY, GREER, SC 29650-3837
(540) 250-7061
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
975
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
975
CERTIFIED ATHLETIC TRAINER
SC
Enumeration date
05/09/2022
Last updated
05/09/2022
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