MACKENZIE MCINTURFF


Address: 713 S 3rd St, Odessa, MO 64076-1453
Phone: 8166335533

MACKENZIE MCINTURFF (NPI# 1396283727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396283727
Entity Type Individual
Full Name MACKENZIE MCINTURFF
Credential LAT, ATC
Practice Address 713 S 3rd St
Odessa
MO 64076-1453
Mailing Address 2871 Radnor St
Saint Charles
MO 63301-0347
Practice Telephone 8166335533
Mailing Telephone 6363953358
Enumeration Date 2017-02-06
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2018016874 MO Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 College Hl, Canton, MO 634351257 6363953358

Office Location

Street Address 713 S 3RD ST
City ODESSA
State MO
Zip Code 64076-1453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952801219 Kaarin Hoogstraten Specialist/Technologist 713 S 3rd St, Odessa, MO 64076-1453 2018-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548823966 Bethany Jeanette Foss Nurse Practitioner 1280 W 40 Hwy, Odessa, MO 64076 2019-04-22
1619216231 Heather N Begemann Nurse Practitioner 1280 West 40 Hwy, Odessa, MO 64076 2013-02-01
1558640334 Linda Lou Proctor Registered Nurse 1278 Old Us 40 Hwy, Odessa, MO 64076 2011-08-10
1730499104 Pamela Joyce Miller Counselor 406 A N. 4th Street, Odessa, MO 64076 2010-10-19
1225004781 Richard Joseph Humble Counselor 406a N 4th, Odessa, MO 64076 2006-02-24
1568962611 Tina Marie Davis Nurse Practitioner 1280 West 40 Hwy, Odessa, MO 64076 2018-02-15
1740701697 Leslie Gleason Counselor 1278 W Us Highway 40, Odessa, MO 64076 2017-06-30
1982080008 Danielle Fera Counselor 1278 W Us Highway 40, Odessa, MO 64076 2015-07-31
1184979940 Lucas Paul Taylor Counselor 1278 W Us Highway 40, Odessa, MO 64076 2012-07-18
1093893893 Missouri Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 101 S 2nd St, Odessa, MO 64076 2006-11-01
Find all providers in zip 64076

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy 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.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265995716 Ryan Daniels Specialist/Technologist 4901 E University, Gym 111, Odessa, TX 79762 2019-04-11
1720547730 Emily Campbell Specialist/Technologist 1301 N Dotsy Ave, Odessa, TX 79763-3597 2019-03-19
1174088470 Payton Hunter Specialist/Technologist 356 N Tripp Ave, Odessa, TX 79763-7779 2019-01-31
1063998870 Jennifer Mitchell Specialist/Technologist 11502 Belmack Blvd S, Odessa, FL 33556-5104 2018-07-15
1326547597 Kaele Lawless Specialist/Technologist 12214 Garden Lake Cir, Odessa, FL 33556-5141 2018-02-02
1992203608 Eric Norton Specialist/Technologist 51 Falcons Nest Cir # 2051, Odessa, TX 79762-9621 2018-01-28
1215383468 Isaac Knutson Specialist/Technologist 63611 440th St, Odessa, MN 56276-2068 2016-05-06
1609250984 Anneliese Fox Martinez Specialist/Technologist 900 Duke Ave, Odessa, TX 79765-2109 2015-07-16
1881871457 Kazuhiko Yanagi Specialist/Technologist 4901 E University Blvd, Utpb Department of Athletics, Odessa, TX 79762-8122 2008-01-26
1003837584 James Craig Carlson Specialist/Technologist 2525 N Grandview Ave Ste 400, Odessa, TX 79761-1600 2006-07-21
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 64076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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