Mackenzie Rylee Modica

NPI #1447117742 in Canton, Georgia

Provider Information

NPI Number
1447117742
Entity Type
Individual
Name
Mackenzie Rylee Modica
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jan 7, 2026
Last Updated
Jan 7, 2026

Practice Location

Address
2206 COLONY DR
City
Canton
State
Georgia
ZIP Code
30114-4522
Phone
(770) 820-9548

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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