Individual
KATIE MACKOVJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 S ENTERPRISE ST, BOWLING GREEN, OH 43402-2913
(440) 655-5671
Mailing address
145 S ENTERPRISE ST, BOWLING GREEN, OH 43402-2913
(440) 655-5671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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