Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tariq Kelly, ATC

Individual provider Athletic Trainer · NPI 1275074031

Tariq Kelly, ATC is an Athletic Trainer in Houghton, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1 Willard Ave
Houghton, NY 14744-8732
Phone: (585) 567-9563
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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 003316-1 (NY)

Record details

NPI number1275074031
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017

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