Individual
MACKENZIE KUSHMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
149 MAGGIE LN, PULASKI, PA 16143-1741
(724) 651-5418
Mailing address
149 MAGGIE LN, PULASKI, PA 16143-1741
(724) 651-5418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
05/27/2025
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