Individual
MCKENZIE FAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5700 W LAYTON AVE, GREENFIELD, WI 53220-4016
(414) 281-7200
Mailing address
520 WINDSTONE DR, UNIT 204, HARTLAND, WI 53029-1651
(708) 601-5445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12226
WI
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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