Individual
MACKENZIE HARDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8 5TH ST SE, WATERTOWN, SD 57201-3713
(605) 753-5400
(605) 753-6208
Mailing address
500 CROSS STREET, BIG STONE CITY, SD 57216
(605) 541-1140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11200
MN
225100000X
Physical Therapist
Primary
2063
SD
Other
Enumeration date
07/20/2018
Last updated
06/06/2019
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