Individual
MCKENZIE FAITH GATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4138 19TH ST, LUBBOCK, TX 79407-2403
(806) 780-2329
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2170828
TX
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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