Individual provider · Type 1 NPI

Mackenzie Gregory, OT

Specialist · Byram, MS

NPI number 1801276035 Active

Practice location

7213 S Siwell Rd
Byram, MS 39272-9776

Fax (601) 346-3044

Mailing address

PO Box 720610
Byram, MS 39272-0610

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOT2471 (MS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1801276035

Mackenzie Gregory, OT's National Provider Identifier is 1801276035, issued on Jun 3, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Byram, MS. The record was last updated on Jun 3, 2015.