Individual
GARY DAVID MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
150 COLLEGE AVE, EPHRAIM, UT 84627-1550
(435) 283-7022
(435) 283-7429
Mailing address
150 COLLEGE AVE, EPHRAIM, UT 84627-1550
(435) 283-7022
(435) 283-7429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10363049-4810
UT
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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