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

Mackenzie Rylee Modica

Individual provider Athletic Trainer · NPI 1447117742

Mackenzie Rylee Modica is an Athletic Trainer in Canton, Georgia. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2206 Colony Dr
Canton, GA 30114-4522
Phone: (770) 820-9548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1447117742
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address2206 Colony Dr, Canton, GA 30114-4522

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