Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI BOLTON, MA, ATC
Active Sole ProprietorKELLI BOLTON, MA, ATC is a Athletic Trainer healthcare provider located in CUSTER, South Dakota. NPI 1255854998 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CUSTER, SD
Registration Details
- NPI Number
- 1255854998
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2017 (9.0303786368093 yrs)
- Last Updated
- Jul 25, 2017
- License
-
2000017784 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
527 MONTGOMERY STCUSTER, SD, 577301124Browse SD providers · Browse ZIP 57730
- Phone
- 6058404794
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.