MACKENZIE UNDERWOOD

WICHITA, KS
NPI1760084552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00789)
Enumeration Date2020-11-16
Last Update Date2020-11-16
Business Address
MACKENZIE UNDERWOOD ATC
12345 E 21ST ST N
WICHITA, KS 67206-3503
Phone number: 316-634-0909
Mailing Address
MACKENZIE UNDERWOOD ATC
1942 N WOOD CT
WICHITA, KS 67212-5321
Phone number: 316-633-3433
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