Most Relevant Information
Provider Data
| NPI Number: | 1003254855 |
| Provider Name: | MCKENZIE FAUTH DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 12226 |
Most Important Dates
| Enumeration Date: | 06/13/2013 |
| Last Updated: | 06/13/2013 |
Provider Practice Location
5700 W LAYTON AVE
GREENFIELD
WI
532204016
Practice Location Phone/Fax
| Phone: | 4142817200 |
| Fax: |
Provider Mailing Location
520 WINDSTONE DR
UNIT 204
HARTLAND
WI
530291651
Provider Mailing Phone/Fax
| Phone: | 7086015445 |
| Fax: |