Active NPIIndividual provider

Michelle M Kelly, ATC

Specialist/Technologist, Athletic Trainer in Cambridge, Massachusetts

NPI Number1518929553
Practice location
29 Everett St, Lesley University, Cambridge, MA 02138-2702
Fax
—
Last updated
July 13, 2026

Michelle Marie Kelly is a Specialist/Technologist, Athletic Trainer based in Cambridge, MA. Michelle Marie Kelly practices in Cambridge, MA and has the professional credentials of ATC. The NPI Number for Michelle Marie Kelly is 1518929553 and holds a License No. 1082 (MA). The current practice location address for Michelle Marie Kelly is 29 Everett St, Lesley University, Cambridge, MA 02138-2702 and can be reached out via phone at 617-349-8976.

Provider Profile Details

NPI Number
1518929553
Provider Name
Michelle Marie Kelly
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
29 Everett St, Lesley University, Cambridge, MA 02138-2702
Phone Number
617-349-8976
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Everett St
Lesley University
Cambridge, MA 02138-2702
Zip
02138-2702
Phone Number
617-349-8976
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
73 ENT RD
Hanscom Afb, MA 01731-2605
City
Hanscom Afb
State
MA
Zip
01731-2605
Phone Number
617-216-3112

License Information

License Number
1082
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle M Kelly, ATC?

The NPI number of Michelle M Kelly, ATC is 1518929553. It was assigned on April 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Michelle M Kelly, ATC?

Michelle M Kelly, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1082.

Where does Michelle M Kelly, ATC practice?

The practice location is 29 Everett St, Lesley University, Cambridge, MA 02138-2702. The office can be reached at 617-349-8976 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518929553 directly on the NPPES registry website.

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