KELLIE MACK ATC
NPI 1972271765
Specialist/Technologist - Athletic Trainer in Vidalia, GA

Active since September 06, 2021
709 ALLEN DR, VIDALIA, GA 30474(912) 373-2568 Get Directions Write a Review

NPPES record last updated: September 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kellie Mack Atc NPPES

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

KELLIE MACK ATC (NPI 1972271765) is an individual athletic trainer provider in Vidalia, Georgia and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1972271765
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKELLIE MACKCredential: ATC
Location Address709 ALLEN DRVidalia, GA 30474-6348
Mailing Address709 Allen DrVidalia, GA 30474-6348 · (912) 373-2568
Sole ProprietorNo
Enumeration DateSeptember 6, 2021
NPPES CertifiedSeptember 6, 2021
NPI 1972271765 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
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.

709 ALLEN DR, Vidalia, GA 30474

Other Names 1

Former Name (1)Kellie Mack Atc

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972271765, enumerated as an "individual" on September 06, 2021.

The provider is located at 709 ALLEN DR VIDALIA, GA 30474 and the phone number is (912) 373-2568.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.