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Individual

MRS. MCKENZIE ROSE WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT, ATC

Contact information

Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 672-3473
Mailing address
PO BOX 98, STORY, WY 82842-0098
(307) 680-7695

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2099
WY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/05/2017
Last updated
09/09/2021
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