Kelley M Davis, BSAT, ATC
Specialist/Technologist, Athletic Trainer in Ellwood City, PA. Individual provider (NPI-1).
NPI number1104961069
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104961069
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelley M Davis
- Credential
- BSAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT003474 | PA | Yes |
Practice location
1677 Route 65Ellwood City, PA 16117-5217
Phone 724-752-2716
Mailing address
3322 3rd AveP.O. Box 417
Koppel, PA 16136
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