Individual
MACKENZIE STREACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 PARK AVE, FOSTORIA, OH 44830-1455
(419) 435-8163
Mailing address
49 TOMB ST, TIFFIN, OH 44883-1164
(419) 618-0465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013342
OH
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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