Individual
MACKENZIE MCINTURFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
713 S 3RD ST, ODESSA, MO 64076-1453
(816) 633-5533
Mailing address
2871 RADNOR ST, SAINT CHARLES, MO 63301-0347
(636) 395-3358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018016874
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2017
Last updated
02/12/2019
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