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

Individual provider Athletic Trainer · NPI 1629888938

Mackenzie Bloxham, MAT, LAT, ATC is an Athletic Trainer in Cookeville, Tennessee. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1 William L Jones Dr
Cookeville, TN 38505-0001
Phone: (931) 372-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000051989 (UT)

Record details

NPI number1629888938
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , LAT , ATC
Sole proprietorYes
NPI enumeratedJanuary 9, 2025
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

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