National Provider Identifier
Makenzie Lee Muck, COTA
Makenzie Lee Muck, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (716) 836-5929.
Profile Overview
- NPI
- 1104594043
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 03, 2021
- Last Updated
- September 03, 2021
Practice Location
- 2495 Main St Ste 234
- Buffalo, NY 14214-2152
Phone: (716) 836-5929
Mailing Address
- 1610 N Lyndonville RD
- Lyndonville, NY 14098-9602
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1104594043
- Entity Type
- Individual
- Last Name
- Muck
- First Name
- Makenzie
- Middle Name
- Lee
- Name Prefix
- Miss
- Credential
- COTA
- Mailing Street Address
- 1610 N Lyndonville RD
- Mailing City
- Lyndonville
- Mailing State
- NY
- Mailing ZIP Code
- 14098-9602
- Mailing Country
- US
- Mailing Phone
- (585) 590-9174
- Practice Street Address
- 2495 Main St Ste 234
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2152
- Practice Country
- US
- Practice Phone
- (716) 836-5929
- Enumeration Date
- September 03, 2021
- Last Updated
- September 03, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 03, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)