IndividualActive
Amber Kelso, MS, LAT, ATC
NPI 1669886966 · Athletic Trainer · Odenton, MD
Provider details
- NPI number
- 1669886966
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A0000177 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
600 Moonglow Rd Apt 302
Odenton, MD 21113-1494
Phone: (336) 264-0758
Approximate (ZIP-level) locationGet directions
Mailing address
600 Moonglow Rd Apt 302
Odenton, MD 21113-1494
Registry dates
- Enumerated
- 2014-06-13
- Last updated
- 2014-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.