Individual
MACKENZIE BETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
602 CLOVER LN, HESSTON, KS 67062-9413
(620) 217-0158
Mailing address
602 CLOVER LN, HESSTON, KS 67062-9413
(620) 217-0158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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