Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENNA LEE VANDERTUIN
Active Sole ProprietorMACKENNA LEE VANDERTUIN is a Early Intervention Provider Agency healthcare provider located in DEMOTTE, Indiana. NPI 1447872197 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · DEMOTTE, IN
Registration Details
- NPI Number
- 1447872197
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2020 (6.2745630828896 yrs)
- Last Updated
- May 15, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 11TH CIRCLE SEDEMOTTE, IN, 46310Browse IN providers · Browse ZIP 46310
- Phone
- 2197427641
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.