Individual
MS. MACKENZIE ALLISON SIEMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
917 KALANIANAOLE HWY, KAILUA, HI 96734-4600
(269) 369-0549
Mailing address
917 KALANIANAOLE HWY, KAILUA, HI 96734-4600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
243
HI
Other
Enumeration date
01/11/2016
Last updated
06/20/2016
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