Individual
MACKENZIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2408 4 MILE RD, RACINE, WI 53402-2091
(262) 687-5995
Mailing address
2408 4 MILE RD, RACINE, WI 53402-2091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10623-24
WI
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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