Individual
MACKENZIE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
2310 N MARR RD, #3, COLUMBUS, IN 47203-3450
(608) 381-6854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004845A
IN
225200000X
Physical Therapy Assistant
1726-19
WI
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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