Tracie Mayles

NPI #1093193260 in Canton, Ohio

Provider Information

NPI Number: 1093193260
Entity Type: Individual
Name: Tracie Mayles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 8, 2015
Last Updated: May 8, 2015

Practice Location

Address: 4126 CLOVERHILL ST SW
City: Canton
State: Ohio
ZIP Code: 44706-3940
Phone: (330) 415-2466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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