Individual
MACKENZIE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
9001 S 101ST EAST AVE STE 170, TULSA, OK 74133-5799
(918) 294-4060
Mailing address
114 W 130TH ST S, JENKS, OK 74037-4429
(417) 669-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6553
OK
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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