Individual
NEIL PATRICK MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7005
(801) 587-7070
Mailing address
112 ETNA RD, LEBANON, NH 03766-1559
(603) 643-7788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4739
NH
Other
Enumeration date
07/01/2017
Last updated
12/04/2020
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