Individual
MARISSA YVONNE MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
2927 HIGHWAY 66 S, ROGERSVILLE, TN 37857-5169
(423) 272-6507
Mailing address
2927 HIGHWAY 66 S, ROGERSVILLE, TN 37857-5169
(423) 272-6507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000002019
TN
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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