NPI 1164032660

Mackenzie Hamblin, PTA

Practitioner Physical Therapy Assistant Creve Coeur, MO

Practice location

Address: 850 Country Manor Ln, Creve Coeur, MO 63141-6651
Phone: (314) 434-5900

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1164032660
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2020
Record last updated: 9 Aug 2020

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.