Individual
MCKENZIE MARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 644-4000
Mailing address
115 YUKON PL APT 1, SPEARFISH, SD 57783-8518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
483418
SD
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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