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NPI Code Detail

MEDICARE: MAKENZIE PIERCE

MEDICARE: MAKENZIE PIERCE
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1235709106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENZIE PIERCE
Provider Business Mailing Address
First Line : 320 ROBIN LN
Second Line :
City : SALLISAW
State : OK
Zip : 74955-3029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6301 HIGHWAY 45 STE B
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-8857
Country : US
Telephone Number : 479-763-1412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 09/28/2022

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Directions to “ MAKENZIE PIERCE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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