Individual provider · NPI-1
Makenzie Rose Corbett
Occupational Therapist · Kannapolis, NC
NPI number1962212761
StatusActive
Last updated in NPPESJul 15, 2025
Details
- NPI
- 1962212761
- Entity type
- Individual (NPI-1)
- Name
- Makenzie Rose Corbett
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2025
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 17312 | NC | Yes |
Other names
- Makenzie Ryder (Former Name)
Practice location
1777 Old Earnhardt RdKannapolis, NC 28083-8023
Phone 704-799-6824
Mailing address
134 Infield CtMooresville, NC 28117-8026
Phone 704-799-6824 · Fax 704-799-6825
Other practice locations
134 Infield Ct
Mooresville, NC 28117-8026
Mooresville, NC 28117-8026
Phone 704-799-6824
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