MACKENZIE DAVENPORT AT, ATC
NPI 1427595842
Specialist/Technologist - Athletic Trainer in Grand Rapids, MI

Q: What is Mackenzie Davenport's NPI number?

The NPI number for Mackenzie Davenport is 1427595842. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Q: What is Mackenzie Davenport's specialty?

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

Active since January 24, 2017

6191 KRAFT AVE SE, GRAND RAPIDS, MI 49512(616) 871-6738 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 16, 2023, Jul 22, 2021, Aug 27, 2019 and 1 more (4 updates tracked since 2017).

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About Mackenzie Davenport At, Atc NPPES

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

MACKENZIE DAVENPORT AT, ATC (NPI 1427595842) is an individual athletic trainer provider in Grand Rapids, Michigan, licensed in Michigan (2601002811) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1427595842

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMACKENZIE DAVENPORTCredential: AT, ATC

Location Address6191 KRAFT AVE SEGrand Rapids, MI 49512-9396

Mailing Address6130 Woodfield Dr Se Apt 2Grand Rapids, MI 49548-8516 · (574) 274-6598

Phone(616) 871-6738

Sole ProprietorNo

Enumeration DateJanuary 24, 2017

Last NPPES UpdateNovember 16, 20234 updates tracked since enumeration

NPPES CertifiedNovember 16, 2023

✔ NPI 1427595842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2255A2300X

Licenses✔ Licensed in MI · 2601002811✔ Licensed in CO · AT.0002319✔ Licensed in IN · 36003148A

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.

6191 KRAFT AVE SE, Grand Rapids, MI 49512

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Other Providers at the Same Location NPPES 8

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

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