Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Scott Michael Kelly, MS, ATC, LAT

Individual provider Athletic Trainer · NPI 1609998632

Scott Michael Kelly, MS, ATC, LAT is an Athletic Trainer in Phoenix, Arizona. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1701 E Colter St Apt 209
Phoenix, AZ 85016-3374
Phone: (602) 803-8212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 00477 (KS)

Record details

NPI number1609998632
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 12, 2007

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