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1003254855
MCKENZIE FAUTH
GREENFIELD, WI
NPI
1003254855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12226)
Enumeration Date
2013-06-13
Last Update Date
2013-06-13
Business Address
-- MCKENZIE FAUTH DPT
5700 W LAYTON AVE
GREENFIELD, WI 53220-4016
Phone number: 414-281-7200
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Mailing Address
-- MCKENZIE FAUTH DPT
520 WINDSTONE DR UNIT 204
HARTLAND, WI 53029-1651
Phone number: 708-601-5445
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