Individual
MACKENZIE LAYNE GREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
211 N 2ND ST, ODESSA, MO 64076-1135
(816) 633-4063
(816) 230-3230
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020025701
MO
Other
Enumeration date
06/12/2020
Last updated
06/27/2024
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