National Provider Identifier
Mackenzie Jade Mullins
Mackenzie Jade Mullins is listed in the NPPES registry with a primary specialty of Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1407301047
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 24, 2016
- Last Updated
- August 24, 2016
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 346 Connecticut St
- Apt 306
- Buffalo, NY 14213-2900
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1407301047
- Entity Type
- Individual
- Last Name
- Mullins
- First Name
- Mackenzie
- Middle Name
- Jade
- Name Prefix
- MS.
- Mailing Street Address
- 346 Connecticut St
- Mailing Address Line 2
- Apt 306
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2900
- Mailing Country
- US
- Mailing Phone
- (607) 221-4174
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- August 24, 2016
- Last Updated
- August 24, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)