Individual
CHRYSTLE M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
2626 WALKER RD, CHATTANOOGA, TN 37421-1116
(423) 490-1599
Mailing address
214 RAINTREE LN, CHATTANOOGA, TN 37421-5340
(423) 316-3947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1073
TN
225X00000X
Occupational Therapist
Primary
1073
TN
Other
Enumeration date
12/03/2008
Last updated
11/21/2023
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