Kelli Bolton, MA, ATC
NPI #1255854998 in Custer, South Dakota
Provider Information
- NPI Number
- 1255854998
- Entity Type
- Individual
- Name
- Kelli Bolton, MA, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MA, ATC
- Enumeration Date
- Jul 25, 2017
- Last Updated
- Jul 25, 2017
Practice Location
- Address
- 527 MONTGOMERY ST
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-1124
- Phone
- (605) 840-4794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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