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Mackenzie Ondersma, ATC
NPI 1871130237 · on the registry since 2019 · sole proprietor
Practice
- Address
- 111 Lyon St
Grand Rapids, MI 49503 - Phone
- (616) 234-4260
Additional practice sites
- 1 Macklem Dr, Wilmore, KY
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- KY, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-29
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