Individual
MACKENZIE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11661 GRANADA ST, LEAWOOD, KS 66211
(913) 906-0200
Mailing address
6710 W 52ND PL APT 3B, MISSION, KS 66202-1518
(620) 923-5165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
06/06/2018
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