NPI 1053086389

Mackenzie Richardson

Practitioner Occupational Therapy Assistant Tyler, TX

Practice location

Address: 9846 Hwy 31 E, Tyler, TX 75705-2329
Phone: (903) 525-3714

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 216751 (TX)

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Registry record

NPI: 1053086389
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2021
Record last updated: 10 Aug 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.