Individual
JAMIE MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
124 MYRON ST, WEST SPRINGFIELD, MA 01089-1420
(413) 781-7538
(413) 781-0982
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20658
MA
Other
Enumeration date
08/14/2013
Last updated
05/03/2017
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