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Macie Southard, PTA
NPI 1831816263 · on the registry since 2022
Practice
- Address
- 4309 Old Jacksboro Hwy Ste 101
Wichita Falls, TX 76302 - Phone
- (940) 386-1004
- Fax
- (940) 386-9944
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-26
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 Texas