Individual
MACKENZIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 268-5000
Mailing address
121 S CHRISTIAN AVE, MOUNDRIDGE, KS 67107-8899
(620) 386-0004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07906
KS
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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