Individual
MACKENZIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 OLD MAIN HL, LOGAN, UT 84322-0160
(425) 442-3809
Mailing address
480 SUNCREST LN APT 102, LOGAN, UT 84341-3129
(425) 442-3809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11336211-4810
UT
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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