Individual
MS. MACKENZIE MAE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
2235 S JACKSON ST, SAN ANGELO, TX 76904-5131
(325) 486-6868
Mailing address
2235 S JACKSON ST, SAN ANGELO, TX 76904-5131
(325) 486-6868
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9289
TX
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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