Individual
MAKENZIE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
602 ASHLEIGH CT, TRUESDALE, MO 63380-1234
(636) 293-5944
Mailing address
602 ASHLEIGH CT, TRUESDALE, MO 63380-1234
(636) 293-5944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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