Travis Eugene Mackenzie in Grand Forks - Occupational Therapist
Travis Eugene Mackenzie - NPI 1457554909
Travis Eugene Mackenzie is a Occupational Therapist in Grand Forks, North Dakota. Travis Eugene Mackenzie practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Travis Eugene Mackenzie is 1457554909. The last update date is 2019-07-02.
Travis Eugene Mackenzie's current location address is 1375 S Columbia Rd - Altru Performance Center, Grand Forks, North Dakota. You can contact this provider via phone number 7017805000. The mailing address for Travis Eugene Mackenzie is 1375 S Columbia Rd - Altru Performance Center, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Eugene Mackenzie |
|---|---|
| Address | 1375 S Columbia Rd - Altru Performance Center, Grand Forks, North Dakota |
| Phone Number | 7017805000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1457554909 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2019-07-02 |
Provider Mailing Address Detail
| Address | 1375 S Columbia Rd - Altru Performance Center |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 58201 |
| Phone Number | 7017805000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 940 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique provider identifier assigned to Travis Eugene Mackenzie?
The Travis Eugene Mackenzie has been issued the NPI (National Provider Identifier) 1457554909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Travis Eugene Mackenzie?
The Travis Eugene Mackenzie is situated at 1375 S Columbia Rd - Altru Performance Center, in the city of Grand Forks, state of ND, with the zip code 58201.
What is Travis Eugene Mackenzie's specialized field of practice, and what is the corresponding taxonomy classification code?
The Travis Eugene Mackenzie's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
When was the Travis Eugene Mackenzie's 1457554909 issued?
The Travis Eugene Mackenzie's 1457554909 was issued on 2007-06-11.
As of what date were the details pertaining to Travis Eugene Mackenzie last refreshed?
The information related to the Travis Eugene Mackenzie, including its address, specialty, and other relevant details, was last updated on 2019-07-02.
NPI Number: 1144223009
Address: 9900 13th Avenue North, Plymouth, MN