Individual
MCKENNA GRACE WITLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-0001
(703) 955-1942
Mailing address
55 S HARDING ST APT 210, INDIANAPOLIS, IN 46222-4578
(703) 955-1942
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003886A
IN
Other
Enumeration date
04/08/2024
Last updated
04/14/2026
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