Individual
MAKENZIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
(615) 689-9228
Mailing address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3198
TN
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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