Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE BLOXHAM, MAT, LAT, ATC
Active Sole ProprietorMACKENZIE BLOXHAM, MAT, LAT, ATC is a Athletic Trainer healthcare provider located in COOKEVILLE, Tennessee. NPI 1629888938 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · COOKEVILLE, TN
Registration Details
- NPI Number
- 1629888938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2025 (1.4111503493567 yrs)
- Last Updated
- Jan 9, 2025
- License
-
2000051989 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 WILLIAM L JONES DRCOOKEVILLE, TN, 385050001Browse TN providers · Browse ZIP 38505
- Phone
- 9313723101
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in COOKEVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| JOSEPH THOMAS ERDELJAC | MS, ATC | 1033182357 |
| MR. BRENT ROGERS RYAN | ATC/L | 1801858998 |
| CHRISTOPHER M CLIFFORD | ATC/L | 1144282062 |
| MRS. BOBBI A. SEVERT | ATC | 1376592774 |
| MISS JENNIFER MARIE WINNINGHAM | MS, ATC, LAT | 1366487951 |
| CHARLES WHEELER | ATC | 1487776977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.