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SAMANTHA KELLEY

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1134787740

Individual Registrant:
 SAMANTHA  KELLEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
100 N D ST  WASHTUCNA, WA 99371-9524 US
Tel: 360-367-0033  Fax: --

Contact information for business:
100 N D ST  WASHTUCNA, WA 99371-9524 US
Tel: --  Fax: --

Registration Information:
NPI: 1134787740
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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