IndividualActive
Bree Mackenzie, PTA
NPI 1720586209 · Physical Therapy Assistant · Rexburg, ID
Provider details
- NPI number
- 1720586209
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA-5317 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
382 Partridge Ln
Rexburg, ID 83440-3593
Phone: (208) 351-1599
Approximate (ZIP-level) locationGet directions
Mailing address
382 Partridge Ln
Rexburg, ID 83440-3593
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2018-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.