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Individual

MACKENZIE EMMA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
26425 LAKELAND AVE S, WEBSTER, WI 54893-8343
(715) 866-4271
(715) 866-4284
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14686
WI

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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