Mackenzie, Travis Eugene

Mackenzie, Travis Eugene is an individual health care provider with primary practice located at 1375 S Columbia Rd - Altru Performance Center , Grand Forks ND 58201. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mackenzie, Travis Eugene can be contacted via phone (701) 780-5000.

Contact Information

Primary practice address
1375 S Columbia Rd - Altru Performance Center Grand Forks ND 58201
Phone: (701) 780-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 940 North Dakota

Profile Details

NPI number 1457554909
LBN Legal business name Mackenzie, Travis Eugene
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jul 2nd, 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.

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