Individual
MACKENZIE JOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2558
(920) 831-1281
Mailing address
E2325 PARFREYVILLE RD, WAUPACA, WI 54981-8370
(920) 850-9836
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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