Individual
MACKENZIE DENAE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GRAND BLVD, SAINT LOUIS, MO 63013
(800) 758-3678
Mailing address
3156 CARLSON AVE, GRANITE CITY, IL 62040-5003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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