Individual
MACKENZIE BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1263 LINCOLN DR, CARBONDALE, IL 62901-4304
(630) 696-8676
Mailing address
806 LAKE HOLIDAY DR, SANDWICH, IL 60548-9314
(630) 696-8676
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
07/21/2022
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