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NPI Code Detail

MEDICARE: DR. MACKENZIE RACHEL KENT OTD

MEDICARE: DR. MACKENZIE RACHEL KENT OTD
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1790228260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MACKENZIE RACHEL KENT OTD
Provider Business Mailing Address
First Line : 80 S GIBSON RD APT 514
Second Line :
City : HENDERSON
State : NV
Zip : 89012-2434
Country : US
Telephone Number : 702-672-5116
Fax Number :
Provider Business Practice Location Address
First Line : 3145 E WARM SPRINGS RD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3140
Country : US
Telephone Number : 702-808-8141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 07/08/2024

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