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Makenna Hartline

Physical Therapist in Saint Joseph, MI. Individual provider (NPI-1).

NPI number1891576880
StatusActive
Last updated in NPPESOct 6, 2023

Details

NPI
1891576880
Entity type
Individual (NPI-1)
Name
Makenna Hartline
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 6, 2023
Certification date
Oct 5, 2023
Last updated
Oct 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501302995MIYes

Practice location

3374 Hollywood Rd
Saint Joseph, MI 49085

Phone 269-428-2799

Mailing address

3374 Hollywood Rd
Saint Joseph, MI 49085

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