Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey E McKenzie, PTA

Individual provider Physical Therapist · NPI 1154674638

Audrey E McKenzie, PTA is a Physical Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

10896 Poblado Rd 1322
San Diego, CA 92127-5325
Phone: (858) 877-0647
Fax: (858) 705-6108
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence AT 2987 (CA)

Record details

NPI number1154674638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 20, 2012
Last updated in NPPESOctober 20, 2012

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