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

Mackenzie Davenport, AT, ATC

Individual provider Athletic Trainer · NPI 1427595842

Mackenzie Davenport, AT, ATC is an Athletic Trainer in Grand Rapids, Michigan. Licensed in Colorado, Indiana and Michigan. Registered with an NPI since 2017.

Licensed in
CO, IN, MI
In the registry since
2017
Specialties on file
3
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

6191 Kraft Ave SE
Grand Rapids, MI 49512-9396
Phone: (616) 871-6738
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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 2601002811 (MI)
Athletic Trainer Taxonomy 2255A2300X · Licence AT.0002319 (CO)
Athletic Trainer Taxonomy 2255A2300X · Licence 36003148A (IN)

Record details

NPI number1427595842
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT , ATC
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

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