Mackenna Lee Vandertuin
Mackenna Lee Vandertuin is an Early Intervention Provider Agency in Demotte, Indiana. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
400 11th Cir SEDemotte, IN 46310
Phone: (219) 742-7641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1447872197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2020 |
| Last updated in NPPES | May 15, 2020 |
| Certification date | May 15, 2020 |
| Mailing address | 400 11th Circle Se, Demotte, IN 46310 |