Kelly, Shauna
Kelly, Shauna is an individual health care provider with primary practice located at 255 Winter St Unit 307 , Waltham MA 02451-8748. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Kelly, Shauna can be contacted via phone (617) 543-3194.Contact Information
Primary practice address
255 Winter St Unit 307
Waltham MA 02451-8748
Phone: (617) 543-3194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2236 | Massachusetts |
Profile Details
| NPI number | 1467862565 |
|---|---|
| LBN Legal business name | Kelly, Shauna |
| Credentials | MS, LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2014 |
| Last updated | May 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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