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KASSANDRA KELLY ATC, LAT
NPI 1023407111
Specialist/Technologist - Athletic Trainer in Statesboro, GA

Active since January 13, 2015
306B GRANADE ST, STATESBORO, GA 30458(912) 478-7582 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kassandra Kelly Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSANDRA KELLY ATC, LAT (NPI 1023407111) is an individual athletic trainer provider in Statesboro, Georgia, licensed in Georgia (AT001674) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1023407111
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKASSANDRA KELLYCredential: ATC, LAT
Location Address306B GRANADE STStatesboro, GA 30458-2058
Mailing AddressPo Box 8082Statesboro, GA 30460-1000
Phone(912) 478-7582
Sole ProprietorYes
Enumeration DateJanuary 13, 2015
✔ NPI 1023407111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT001674
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
306B GRANADE ST, Statesboro, GA 30458
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassandra Kelly's NPI number?

The NPI number for Kassandra Kelly is 1023407111. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Kassandra Kelly located?

Kassandra Kelly practices at 306B Granade St, Statesboro, GA 30458. The listed phone number is (912) 478-7582.

What is Kassandra Kelly's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kassandra Kelly was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.