Individual
KALEY ELIZABETH MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
5109 W ENTERPRISE ST # B, NORTH CHARLESTON, SC 29405-4066
(843) 746-1300
Mailing address
127 LEBANON FARM LN, RIDGEVILLE, SC 29472-7367
(843) 599-9228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR.1163ATH
SC
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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