Individual
MACKENZIE VANDEN HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-3100
(920) 320-5114
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-3100
(920) 320-5114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16933-24
WI
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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