MCKENNA NICOLE MARDLIN MS, ATC, EMT, OPE-C
NPI 1295596013
Specialist/Technologist - Athletic Trainer in Detroit, MI

Q: What is Mckenna Mardlin's NPI number?

The NPI number for Mckenna Mardlin is 1295596013. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Q: What is Mckenna Mardlin's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Mckenna Mardlin was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2024

4001 W MCNICHOLS RD, DETROIT, MI 48221(313) 623-2109 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mckenna Nicole Mardlin Ms, Atc, Emt, Ope-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENNA NICOLE MARDLIN MS, ATC, EMT, OPE-C (NPI 1295596013) is an individual athletic trainer provider in Detroit, Michigan, licensed in Michigan (2601003117) and active in the NPI registry since January 2024. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295596013

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMCKENNA NICOLE MARDLINCredential: MS, ATC, EMT, OPE-C

Location Address4001 W MCNICHOLS RDDetroit, MI 48221-3038

Mailing Address1161 Quail Ridge DrOxford, MI 48371-6075 · (248) 807-1577

Phone(313) 623-2109

Sole ProprietorNo

Enumeration DateJanuary 18, 2024

Last NPPES UpdateJune 19, 2025

NPPES CertifiedJune 19, 2025

✔ NPI 1295596013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MI · 2601003117

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 2017040 (MI)

4001 W MCNICHOLS RD, Detroit, MI 48221

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Secondary Practice Locations 2

Location 11161 Quail Ridge DrOxford, MI 48371-6075 · Phone (248) 807-1577

Location 2690 Amsterdam StDetroit, MI 48202-3410 · Phone (313) 623-2109

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA TRINDADE NOUHRA

Registered Nurse