Marcie Mortimore, ATC
Specialist/Technologist, Athletic Trainer in Morrice, MI. Individual provider (NPI-1).
NPI number1205200060
StatusActive
Last updated in NPPESJun 2, 2016
Details
- NPI
- 1205200060
- Entity type
- Individual (NPI-1)
- Name
- Marcie Mortimore
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2015
- Last updated
- Jun 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
947 E Britton RdMorrice, MI 48857-9720
Phone 517-763-4328
Mailing address
947 E Britton RdMorrice, MI 48857-9720
Phone 517-763-4328
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