Individual
MACKENZIE SILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-0101
Mailing address
16194 PIN OAK RD, FAYETTEVILLE, AR 72704-8102
(479) 422-7537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4701
AR
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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