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NPI Code Detail

MEDICARE: ALEXANDRA L MACKAY DPT

MEDICARE: ALEXANDRA L MACKAY DPT
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
1225100000XPhysical Therapist5097OK
2225100000XPhysical TherapistPT025569PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598120396
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA L MACKAY DPT
Provider Business Mailing Address
First Line : 6011 N ORACLE RD STE 151
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5309
Country : US
Telephone Number : 520-561-0101
Fax Number :
Provider Business Practice Location Address
First Line : 6011 N ORACLE RD STE 151
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5309
Country : US
Telephone Number : 520-561-0101
Fax Number : 520-844-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2015
Last Update Date : 11/07/2024

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Directions to “ ALEXANDRA L MACKAY DPT” Practice Location

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