Individual
MACY BASSLER
Active
Individual
MACY BASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CBS
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
225100000X
Physical Therapist
PT004318
WV
2251P0200X
Pediatric Physical Therapist
Primary
008750
KY
Other
Enumeration date
03/21/2022
Last updated
05/19/2024
Update your record
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