Ryan John Mackenzie, DPT

NPI #1104204908 in Stayton, Oregon

Provider Information

NPI Number: 1104204908
Entity Type: Individual
Name: Ryan John Mackenzie, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 12, 2015
Last Updated: Apr 5, 2018

Practice Location

Address: 1750 WILCO RD
City: Stayton
State: Oregon
ZIP Code: 97383-1085
Phone: (503) 769-7131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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