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Individual

MS. ADRIEN GREY MACKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA, LMT, CLT-LANA

Contact information

Practice address
2200 21ST AVE S, SUITE 105, NASHVILLE, TN 37212-4942
(615) 579-6629
(615) 781-9547
Mailing address
207 GARRETT DR, NASHVILLE, TN 37211-4407
(615) 579-6629
(615) 781-9547

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4521
TN
225700000X
Massage Therapist
Primary
7130
TN

Other

Enumeration date
02/16/2011
Last updated
01/24/2017
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