Individual
MS. MICHELLE THERESE MACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1514 E 67TH CT, TULSA, OK 74136-3815
(918) 521-4273
Mailing address
1514 E 67TH CT, TULSA, OK 74136-3815
(918) 521-4273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2382
OK
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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