Mackenzie Tiderington, P.A-C

NPI 1114577103 · on the registry since 2019

Practice

Address: 4160 Little York Rd Ste 10
Dayton, OH 45414
Phone: (937) 415-9100
Fax: (937) 415-9191
Organisation at this address: Jcc, Llc
Alliance Physician Inc
Orthopedic Asoc Of Sw Ohio, Inc.
Associated Therapeutic Services, Inc.
Orthopedic Associates Of Sw Ohio, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 96

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio