Individual
MACKENZIE L GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2804 DEL PRADO BLVD S STE 104, CAPE CORAL, FL 33904-7227
(941) 275-9227
Mailing address
610 NW 21ST TER, CAPE CORAL, FL 33993-4162
(239) 313-3169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA93161
FL
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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