Individual
DR. MAKENZIE WORTHINGTON BELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26797
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26797
BOARD OF PHYSICAL THERAPY EXAMINERS PHYSICAL THERAPIST LICENSE
MD
Enumeration date
01/16/2018
Last updated
09/08/2025
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