Mckenzie, Stacey L
Mckenzie, Stacey L is an individual health care provider with primary practice located at 210 E. Derenne Ave , Savannah GA 31405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mckenzie, Stacey L can be contacted via phone (912) 644-5300.Contact Information
Primary practice address
210 E. Derenne Ave
Savannah GA 31405
Phone: (912) 644-5300
Fax: (912) 644-5260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT007947 | Georgia |
Profile Details
| NPI number | 1447208970 |
|---|---|
| LBN Legal business name | Mckenzie, Stacey L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Feb 11th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447208970 | NPPES |
| Georgia | MEDICAID | 549181518A |
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