KELLY QUACKENBUSH

BRADENTON, FL
NPI1083189674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL3807)
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
KELLY QUACKENBUSH
5500 34TH ST W
BRADENTON, FL 34210-3506
Phone number: 941-739-7476
Mailing Address
KELLY QUACKENBUSH
22830 COLLRIDGE DR
LAND O LAKES, FL 34639-4075
Phone number:
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