Individual
MS. MACKENZIE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
5336 MERRYBELL LN, GROVE CITY, OH 43123-9019
(614) 578-0648
Mailing address
5336 MERRYBELL LN, GROVE CITY, OH 43123
(614) 578-0648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005006
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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