Mackenzie Marie Lewis, PTA
NPI #1194416859 in Shelbyville, Illinois
Provider Information
- NPI Number
- 1194416859
- Entity Type
- Individual
- Name
- Mackenzie Marie Lewis, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 15, 2023
- Last Updated
- May 15, 2023
Practice Location
- Address
- 2116 W SOUTH 3RD ST
- City
- Shelbyville
- State
- Illinois
- ZIP Code
- 62565-9102
- Phone
- (217) 774-2128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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