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

Q: What is Kellie Mack's NPI number?

The NPI number for Kellie Mack is 1972271765. It was assigned to this individual provider in the NPPES registry on September 6, 2021. The provider is also known as Kellie Mack Atc.

Q: What is Kellie Mack'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 Kellie Mack was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 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: August 09, 2026.

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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

Phone(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

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Other Names 1

Former Name (1)Kellie Mack Atc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Mack's NPI number?

The NPI number for Kellie Mack is 1972271765. It was assigned to this individual provider in the NPPES registry on September 6, 2021. The provider is also known as Kellie Mack Atc.

Where is Kellie Mack located?

Kellie Mack practices at 709 Allen Dr, Vidalia, GA 30474. The listed phone number is (912) 373-2568.

What is Kellie Mack's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Mack was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.