Individual
MCKENZIE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1202 RISING RIDGE RD STE 1, MOUNT AIRY, MD 21771-7519
(301) 798-4838
Mailing address
118 CAPRICORN RD, WALKERSVILLE, MD 21793-9125
(301) 514-4974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305216060
VA
225100000X
Physical Therapist
Primary
29649
MD
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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