# MCKENZIE SPORTS THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376967083
- **Authorized official:** CHRISTOPHER MICHAEL MCKENZIE PT, DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (267) 332-8102

## Contact information

- **Practice address:** 161 LEVERINGTON AVE STE 1004, PHILADELPHIA, PA 19127-2076
- **Practice address phone:** (267) 332-8102
- **Practice address fax:** (877) 313-1445
- **Mailing address:** 161 LEVERINGTON AVE STE 1004, PHILADELPHIA, PA 19127-2076
- **Mailing address phone:** (267) 332-8102
- **Mailing address fax:** (877) 313-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | PT018791 | PA | Yes |

## Other

- **Enumeration date:** 02/17/2014
- **Last updated:** 10/18/2022