Individual
MACKENZIE RENE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OPE-C
Contact information
Practice address
2101 DUDLEY AVE, PARKERSBURG, WV 26101-3462
(304) 488-3610
Mailing address
741 CAMPBELL DR, BELPRE, OH 45714-1217
(304) 488-3610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001613
WV
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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