Individual
MACKENZIE POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 NATCHEZ TRACE AVE STE 200, BOWLING GREEN, KY 42103-7947
(270) 796-4698
(270) 782-3274
Mailing address
165 NATCHEZ TRACE AVE STE 200, BOWLING GREEN, KY 42103-7947
(270) 796-4698
(270) 782-3274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009154
KY
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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