Individual
MAKENNA PAGE BALACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
513 W BRIDGE ST, STE E, YERINGTON, NV 89447
(775) 463-4500
(775) 463-4545
Mailing address
513 W BRIDGE ST, STE E, YERINGTON, NV 89447
(775) 463-4500
(775) 463-4545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4360
NV
Other
Enumeration date
08/14/2020
Last updated
08/13/2024
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