Individual
MACKENZIE TAYLOR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1855 1ST ST, CHENEY, WA 99004-1966
(509) 559-5038
Mailing address
1111 E WESTVIEW CT STE A, SPOKANE, WA 99218-1376
(509) 465-5170
(509) 465-1748
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160941708
WA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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