Individual
MICHELLE MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E 7TH ST, RIFLE, CO 81650-2169
(970) 665-6799
Mailing address
839 WHITERIVER AVE, RIFLE, CO 81650-3515
(970) 665-6799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
311691
CO
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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