Individual
MACKENZIE UKKESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC, CSCS
Contact information
Practice address
3400 LARAMIE DR, BOZEMAN, MT 59718-2005
(406) 586-5694
Mailing address
148 TIMBERVIEW CIR, BOZEMAN, MT 59718-8295
(218) 590-6321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/22/2014
Last updated
01/04/2023
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