Individual
MR. MACKENZIE LUKE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
COLORADO STATE UNIVERSITY DEPT 0120, MOBY 141, FORT COLLINS, CO 80523-0001
(970) 491-6756
Mailing address
1114 CYPRESS DR, FORT COLLINS, CO 80521-4116
(970) 213-6029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001008
CO
Other
Enumeration date
08/20/2006
Last updated
07/06/2016
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