Individual
CALLY MARIE MACKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8512 HILL ST, ELLICOTT CITY, MD 21043-4615
(443) 878-9279
Mailing address
8512 HILL ST, ELLICOTT CITY, MD 21043-4615
(443) 878-9279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001240
MD
2255A2300X
Athletic Trainer
LAT-2706
NC
Other
Enumeration date
08/18/2015
Last updated
11/09/2021
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