Individual
ELENA KERETSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCAT, ATC, EMTB
Contact information
Practice address
1700 GRAYSCROFT DR, WAXHAW, NC 28173-6678
(704) 989-6039
Mailing address
1700 GRAYSCROFT DR, WAXHAW, NC 28173-6678
(704) 989-6039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC034978
SC
Other
Enumeration date
07/09/2014
Last updated
07/17/2015
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