Individual
MAKAYLA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7690 DISCOVERY DR, WEST CHESTER, OH 45069-6542
(513) 475-8690
Mailing address
7690 DISCOVERY DR, WEST CHESTER, OH 45069-6542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006088
OH
Other
Enumeration date
06/16/2020
Last updated
11/27/2023
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