Individual
MCKENZIE LYNN PEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E 19TH ST, MOUNTAIN GROVE, MO 65711-1114
(417) 926-6563
Mailing address
5330 HIGHWAY 17, SUMMERSVILLE, MO 65571-8246
(417) 260-0093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2022013525
MO
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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