Individual
DR. MACKENZIE NASH LEICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2005 E GREENVILLE ST STE 119, ANDERSON, SC 29621-1575
(864) 964-0505
Mailing address
1007 GROVE RD STE C, GREENVILLE, SC 29605-4630
(864) 233-5128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9342
SC
Other
Enumeration date
09/03/2018
Last updated
11/14/2024
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