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Tariq Kelly, ATC

NPI 1275074031 · on the registry since 2017 · sole proprietor

Practice

Address
1 Willard Ave
Houghton, NY 14744
Phone
(585) 567-9563
Clinicians at this address
4

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-13
Status
Not present in the most recent federal file

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 New York