NPI 1609657071

Mackenzie Jobs

Practitioner Clinical Exercise Physiologist Appleton, WI

Practice location

Address: 1506 S Oneida St, Appleton, WI 54915-1305
Phone: (920) 738-2558
Fax: (920) 831-1281
Mailing address: E2325 Parfreyville Rd, Waupaca, WI 54981-8370

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1609657071
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2023
Record last updated: 11 Oct 2023

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.