Healthcare Provider Details

I. General information

NPI: 1225813785
Provider Name (Legal Business Name): MACKENZIE ANNE BARTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W GREENLAWN AVE STE 425
LANSING MI
48910-2898
US

IV. Provider business mailing address

6207 S TOWNHALL RD
SHERIDAN MI
48884-9610
US

V. Phone/Fax

Practice location:
  • Phone: 517-336-6060
  • Fax: 517-336-6050
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: