NPI 1063860047
Mackenzie Wood, CCCSLP
Practice location
- Address
- 6458 City West Pkwy, Eden Prairie, MN 55344-3245
- Phone
- (952) 767-6977
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063860047
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 May 2016
- Record last updated
- 4 Jan 2018
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.