Kelly Rawls Fountain, M.S., L.P.T.

NPI #1003148487 in Mobile, Alabama

Provider Information

NPI Number: 1003148487
Entity Type: Individual
Name: Kelly Rawls Fountain, M.S., L.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.S., L.P.T.
Enumeration Date: Feb 9, 2010
Last Updated: Feb 4, 2013

Practice Location

Address: 2864 DAUPHIN ST
Address 2: SUITE A
City: Mobile
State: Alabama
ZIP Code: 36606-2479
Phone: (251) 470-7607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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