Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Mack, ATC

Individual provider Athletic Trainer · NPI 1972271765

Kellie Mack, ATC is an Athletic Trainer in Vidalia, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

709 Allen Dr
Vidalia, GA 30474-6348
Phone: (912) 373-2568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1972271765
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedSeptember 6, 2021
Last updated in NPPESSeptember 6, 2021
Certification dateSeptember 6, 2021
Mailing address709 Allen Dr, Vidalia, GA 30474-6348

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