Individual
KILEY MACKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7455 AWTY SCHOOL LN, HOUSTON, TX 77055-7222
(713) 686-4850
Mailing address
7455 AWTY SCHOOL LN, HOUSTON, TX 77055-7222
(713) 686-4850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3941
TX
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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