Individual
MACKENZIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3470 CENTENNIAL BLVD STE 115, COLORADO SPRINGS, CO 80907-4091
(402) 320-8411
Mailing address
511 JONES ST, LECOMPTON, KS 66050-3032
(402) 320-8411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29146
MD
225100000X
Physical Therapist
Primary
PTL.0020694
CO
Other
Enumeration date
08/29/2022
Last updated
07/15/2025
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