Individual
MACKENZIE TILSTON GOODE-ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
982 EASTERN PKWY, LOUISVILLE, KY 40217-1566
(502) 635-6397
Mailing address
5501 MONTFORT LN, CRESTWOOD, KY 40014-9172
(502) 888-3144
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
006453
KY
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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