Mackenzie Lanman
Individual provider Active NPI Athletic Trainer · Centerville, IN
NPI 1619711041 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1619711041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 7683 Tice Rd
Centerville, IN 47330-9720 - Phone
- (765) 960-6011
- NPI assigned
- Jun 20, 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 | IN | Yes |
Addresses
Primary practice location
7683 Tice Rd
Centerville, IN 47330-9720
Mailing address
7683 Tice Rd
Centerville, IN 47330-9720
Other providers in Centerville, IN
- Hila Handler
- Charles Martin Hanneman
- Kimberly Henry
- Lindsey Marie Humphreys
- Zia Ullah Khan
- Charlotte Darlene McArter
- Jill Ann Miller
- Misfits Medicine LLC
- Antonio Neher
- Cassaundra L Overmier
All providers in Centerville, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. 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.