Individual
MACKENZIE HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 CHAMPION HILL ROAD, COLUMBIA, SC 29207
(803) 543-7191
Mailing address
218 OTT RD, COLUMBIA, SC 29205-2716
(803) 543-7191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1102
SC
Other
Enumeration date
09/01/2016
Last updated
12/05/2025
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