NPI 1083189674

Kelly Quackenbush

Practitioner Athletic Trainer Bradenton, FL

Practice location

Address: 5500 34th St W, Bradenton, FL 34210-3506
Phone: (941) 739-7476
Mailing address: 22830 Collridge Dr, Land O Lakes, FL 34639-4075

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL3807 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1083189674
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2018
Record last updated: 10 Oct 2018

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.