Mackenzie Streacker

NPI #1194431338 in Fostoria, Ohio

Provider Information

NPI Number: 1194431338
Entity Type: Individual
Name: Mackenzie Streacker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 1001 PARK AVE
City: Fostoria
State: Ohio
ZIP Code: 44830-1455
Phone: (419) 435-8163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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