| NPI | 1922371822 |
|---|---|
| Former Name | MACKENZIE SPOONTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1208873) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2024-01-22 |