Doctor Name: | CONNIE L. MACKENZIE |
NPI Number: | 1104953165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT005653 |
Business Practice Address: | 550 Peachtree Street Suite 1900 Atlanta, GA - 30308 |
Business Phone Number: | 4042152050 |
Business Fax Number: | 4042152051 |
Mailing Address: | 550 Peachtree Street, Suite 1900 ATLANTA |
State: | GA |
Postal Code: | 30308 |
Phone Number: | 4042152050 |
Fax Number: | 4042152051 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT005653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |