Individual
MACKENZYE CASSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1943
(260) 338-1241
Mailing address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1943
(260) 338-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014587A
IN
Other
Enumeration date
06/02/2022
Last updated
06/04/2024
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