| NPI | 1023588357 |
|---|---|
| Former Name | MAKENZI SPINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212540) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9308) |
| 225100000X Physical Therapist (Licence: NY 0434191) | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2021-07-26 |