Individual
MACKENZIE MERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 S 164TH AVE, OMAHA, NE 68130-1617
(402) 889-0303
Mailing address
2124 S 164TH AVE, OMAHA, NE 68130-1617
(402) 889-0303
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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