Individual
MACKENZIE LEIGH MARQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12 SEAHAWKS WAY, RENTON, WA 98056-1572
(425) 443-4120
Mailing address
12 SEAHAWKS WAY, RENTON, WA 98056-1572
(425) 443-4120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003792
NY
2255A2300X
Athletic Trainer
Primary
61070321
WA
Other
Enumeration date
10/16/2018
Last updated
05/25/2020
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