Individual
DR. MACKENZIE BLAKE VINEYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
14400 E JEWELL AVE, AURORA, CO 80012-5689
(303) 283-5323
Mailing address
8050 W 50TH AVE, ARVADA, CO 80002-4406
(479) 883-9127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017060
CO
Other
Enumeration date
05/21/2021
Last updated
04/22/2025
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