Individual
MACKENZIE RAE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
28620 N EL MIRAGE RD STE B102, STE B102, PEORIA, AZ 85383-2098
(888) 433-7993
Mailing address
14844 W CIELO GRANDE AVE, SURPRISE, AZ 85387-7351
(602) 615-3754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034156
AZ
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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