Kelly Anne Vinson, ATC, PTA
Specialist/Technologist, Athletic Trainer in Mobile, AL. Individual provider (NPI-1).
NPI number1982242947
StatusActive
Last updated in NPPESDec 20, 2019
Details
- NPI
- 1982242947
- Entity type
- Individual (NPI-1)
- Name
- Kelly Anne Vinson
- Credential
- ATC, PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2019
- Certification date
- Dec 20, 2019
- Last updated
- Dec 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1756 | AL | Yes |
| 225200000X | Physical Therapy Assistant | PTA7694 | AL |
Practice location
1501 Old Shell RdMobile, AL 36604-2226
Phone 251-445-2925
Mailing address
2175 Schillinger Rd S Apt 820Mobile, AL 36695-6003
Phone 601-757-2749
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All 38 Athletic Trainer providers in Mobile · All 8,308 providers in Mobile
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