Kelby Rae Hurlocker, LAT, ATC
Specialist/Technologist, Athletic Trainer in Charlotte, NC. Individual provider (NPI-1).
NPI number1962017798
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1962017798
- Entity type
- Individual (NPI-1)
- Name
- Kelby Rae Hurlocker
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Sep 6, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | LAT-2991 | NC | Yes |
Practice location
500 Center Park DrCharlotte, NC 28217
Phone 704-791-5795
Mailing address
212 Brackenberry CirMount Pleasant, NC 28124-9405
Phone 704-791-5795
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