Individual
MS. MACKENZIE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1202 N ELLIS ST, GROESBECK, TX 76642-2111
(254) 729-4630
(254) 729-4630
Mailing address
2500 MARKETPLACE DR APT 224, WACO, TX 76711-2435
(269) 221-4823
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6279
TX
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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