NPI 1073660759

Kelley Lyn Etheridge, ATC

Practitioner Athletic Trainer Hiram, GA

Practice location

Address: 52 Woodsfield Ln, Hiram, GA 30141-5165
Phone: (404) 218-9051

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1073660759
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2007
Record last updated: 10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.