Kelly Marie Bufford, PT ATC

NPI #1497959647 in Bradley, Illinois

Provider Information

NPI Number: 1497959647
Entity Type: Individual
Name: Kelly Marie Bufford, PT ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT ATC
Enumeration Date: Jun 12, 2007
Last Updated: Jan 17, 2024

Practice Location

Address: 535 E NORTH ST STE C
City: Bradley
State: Illinois
ZIP Code: 60915-1188
Phone: (815) 802-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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