Individual
MACKENZIE BAEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PTA
Contact information
Practice address
5025 SMITHFIELD, MELBOURNE, FL 32934-2808
(321) 947-6417
Mailing address
1435 DIABLO CIR SW, PALM BAY, FL 32908-6443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA34171
FL
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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