Mackenzie Beth Martin, ATC
Individual provider Active NPI Athletic Trainer · Hesston, KS
NPI 1033975669 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1033975669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 602 Clover LN
Hesston, KS 67062-9413 - Phone
- (620) 217-0158
- NPI assigned
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
602 Clover LN
Hesston, KS 67062-9413
Mailing address
602 Clover LN
Hesston, KS 67062-9413
Phone (620) 217-0158
Other providers in Hesston, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.