Individual
AMANDA MACKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
318 WARD AVE, BORDENTOWN, NJ 08505-2300
(609) 298-0025
(609) 291-0347
Mailing address
318 WARD AVE, BORDENTOWN, NJ 08505-2300
(609) 298-0025
(609) 291-0347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00141800
NJ
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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