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Mackenzie Simon, PT

Physical Therapist in Benton, AR. Individual provider (NPI-1).

NPI number1952829285
StatusActive
Last updated in NPPESFeb 16, 2018

Details

NPI
1952829285
Entity type
Individual (NPI-1)
Name
Mrs. Mackenzie Simon
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 7, 2017
Last updated
Feb 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist4388ARYes

Practice location

1308 Military Rd
Benton, AR 72015-2911

Phone 501-778-4960 · Fax 501-778-4968

Mailing address

Po Box 1890
Benton, AR 72018-1890

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