Individual
MACKENZIE ALEXANDRA PIATKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 ANKENEY RD, XENIA, OH 45385-9533
(937) 301-2735
Mailing address
1140 ANKENEY RD, XENIA, OH 45385-9533
(937) 301-2735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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