Individual
MAKENZIE RYAN MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897-0001
(417) 437-8202
Mailing address
1303 S LEXINGTON AVE APT C301-L, SPRINGFIELD, MO 65807-2644
(417) 437-8202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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