MEDICARE: MARION MACY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	225200000X	Physical Therapy Assistant	PTA17476	FL

General Provider Information

NPI Number	:	1235301789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARION MACY PT

Provider Business Mailing Address
First Line	:	1046 BLACK OAK DR # 1063
Second Line	:
City	:	SAPPHIRE
State	:	NC
Zip	:	28774-7737
Country	:	US
Telephone Number	:	828-507-4605
Fax Number	:	828-214-5581

Provider Business Practice Location Address
First Line	:	1046 BLACK OAK DR # 1063
Second Line	:
City	:	SAPPHIRE
State	:	NC
Zip	:	28774-7737
Country	:	US
Telephone Number	:	828-507-4605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	06/27/2024

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Directions to “ MARION MACY PT” Practice Location

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