IndividualActive
Mackinley Burrell, CP
NPI 1376217141 · Prosthetist · Anthem, AZ
Provider details
- NPI number
- 1376217141
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CP
- Sex
- Male
- Sole proprietor
- Yes
- License
- CP004467 (CA)
Practice location
42212 N 41st Dr Ste 105
Anthem, AZ 85086-3815
Phone: (623) 352-4520
Fax: (833) 680-2415
Mailing address
42212 N 41st Dr Ste 105
Anthem, AZ 85086-3815
Registry dates
- Enumerated
- 2021-08-05
- Last updated
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.