Provider Demographics
NPI:1164104402
Name:ROCKWELL, MAKAYLA SHAE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:SHAE
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MAKAYLA
Other - Middle Name:SHAE
Other - Last Name:AKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7220 GALLIA PIKE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN FURNACE
Mailing Address - State:OH
Mailing Address - Zip Code:45629-8987
Mailing Address - Country:US
Mailing Address - Phone:740-357-4770
Mailing Address - Fax:
Practice Address - Street 1:1610 28TH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2641
Practice Address - Country:US
Practice Address - Phone:740-354-3135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT020672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist