Individual
MACKENZIE STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2121 S YUKON PKWY STE 200, YUKON, OK 73099-7482
(405) 578-5447
(866) 490-4693
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
04/15/2025
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