Individual
MACKENZIE BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 8TH AVE E, SPRINGFIELD, TN 37172-2910
(615) 384-8453
Mailing address
4951 ALBERT FENTRESS RD, GREENBRIER, TN 37073-5110
(615) 995-2088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000007764
TN
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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