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Kelly Bly, ATC
NPI 1851700322 · on the registry since 2014 · sole proprietor
Practice
- Address
- 41 Lower Newtown Rd
Waterford, NY 12188 - Phone
- (518) 391-5217
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-08
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