Individual
MRS. MCKENZIE BAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CTRS
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
81185
TN
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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