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Mackenzie Davenport, AT, ATC
NPI 1427595842 · on the registry since 2017
Practice
- Address
- 6191 Kraft Ave Se
Grand Rapids, MI 49512 - Phone
- (616) 871-6738
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
2255A2300X - Licence states on file
- CO, IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-16
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 Michigan