Provider Demographics
NPI:1841937398
Name:MORRELL, MACKENZIE DAVIDE (DPT PT)
Entity type:Individual
Prefix:DR
First Name:MACKENZIE
Middle Name:DAVIDE
Last Name:MORRELL
Suffix:
Gender:M
Credentials:DPT PT
Other - Prefix:
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Mailing Address - Street 1:270 SWAGLER RD
Mailing Address - Street 2:
Mailing Address - City:SCENERY HILL
Mailing Address - State:PA
Mailing Address - Zip Code:15360-1564
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 WILDFLOWER CIR STE 903
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9782
Practice Address - Country:US
Practice Address - Phone:724-416-7172
Practice Address - Fax:724-416-3037
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT030381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist