Individual
DR. MICHAEL MACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT DPT OCS MTC
Contact information
Practice address
2111 FOREST PARK BLVD, FORT WORTH, TX 76110-1726
(817) 307-9520
Mailing address
2111 FOREST PARK BLVD, FORT WORTH, TX 76110-1726
(817) 307-9520
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1110419
TX
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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