Individual
MCKENZI PETRICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4333
(308) 633-7878
(308) 633-7018
Mailing address
3510 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4333
(308) 633-7878
(308) 633-7018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4514
NE
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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