NPI 1013673664

Mackenzie Lashae Anderson, RT

Practitioner Radiology Practitioner Assistant Blaine, TN

Practice location

Address: 880 Rutledge Pike, Blaine, TN 37709-2317
Phone: (865) 933-4110
Fax: (865) 933-4729
Mailing address: 1923 Sulphur Springs Rd, Morristown, TN 37813-5654

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence MDX10900 (TN)

Other Radiology Practitioner Assistant providers in Tennessee →

Registry record

NPI: 1013673664
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2021
Record last updated: 9 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.