Christopher Macha
Specialist/Technologist, Athletic Trainer in Charleston, SC. Individual provider (NPI-1).
NPI number1669954723
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1669954723
- Entity type
- Individual (NPI-1)
- Name
- Christopher Macha
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2018
- Certification date
- Feb 15, 2024
- Last updated
- Feb 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT03051 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
171 Ashley AveCharleston, SC 29425-0100
Phone 843-792-1414
Mailing address
4251 S Rhett Ave Unit 4301North Charleston, SC 29405-6909
Phone 940-631-0456
Other practice locations
1 Jowers Access Road
San Marcos, TX 78666
San Marcos, TX 78666
Phone 940-631-0456
171 Ashley Ave
Charleston, SC 29425-0100
Charleston, SC 29425-0100
Phone 843-792-1414
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