Individual
MACKENZIE DEJARNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 S CROSS LAKES CIR APT E, ANDERSON, IN 46012-4943
(574) 780-6722
Mailing address
1816 S CROSS LAKES CIR APT E, ANDERSON, IN 46012-4943
(574) 780-6722
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/26/2025
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