Individual provider · Type 1 NPI
Mackenzie Lee Taylor
Developmental Therapist · Millersburg, IN
Practice location
118 S Jackson St
Millersburg, IN 46543
Mailing address
9426 Lima Rd Ste A
Fort Wayne, IN 46818-8681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1255984969
Mackenzie Lee Taylor's National Provider Identifier is 1255984969, issued on Jul 22, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Millersburg, IN. The record was last updated on Jul 22, 2019.