Individual
MCKENZIE SHAE BIRCHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6636 AUTUMN CRK, OWENSBORO, KY 42301-8046
(270) 313-2848
Mailing address
6636 AUTUMN CRK, OWENSBORO, KY 42301-8046
(270) 313-2848
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201181711
KY
252Y00000X
Early Intervention Provider Agency
—
KY
Other
Enumeration date
08/24/2023
Last updated
01/29/2024
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