Individual
NATALIE MCCLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5640 GRAND TRAVERSE LN, PORTAGE, MI 49024-1129
(269) 929-2864
Mailing address
5640 GRAND TRAVERSE LN, PORTAGE, MI 49024-1129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
08/18/2020
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