SearchGeorgia2255A2300X

Kassandra Kelly, ATC, LAT

NPI 1023407111 · on the registry since 2015 · sole proprietor

Practice

Address
306b Granade St
Statesboro, GA 30458
Phone
(912) 478-7582

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia