Individual
MARK E MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CNMT, CST
Contact information
Practice address
119 SUNSET DR, LANSDALE, PA 19446-1732
(215) 237-5586
Mailing address
119 SUNSET DR, LANSDALE, PA 19446-1732
(215) 237-5586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001626
PA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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