MEDICARE: ALEXANDRA DRECHSEL MACPHIE 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
1	225100000X	Physical Therapist	5592	ME
2	225100000X	Physical Therapist	1658	WY
3	225100000X	Physical Therapist	1662	WY

General Provider Information

NPI Number	:	1861948945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA DRECHSEL MACPHIE DPT

Provider Business Mailing Address
First Line	:	PO BOX 10304
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83002-0304
Country	:	US
Telephone Number	:	207-491-8989
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 ASPEN DR UNIT 2
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-8611
Country	:	US
Telephone Number	:	207-491-8989
Fax Number	:

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

Provider Enumeration Date	:	08/29/2016
Last Update Date	:	04/18/2023

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