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

Mackenzie Grace Shields

Individual provider Physical Therapy Assistant · NPI 1669213963

Mackenzie Grace Shields is a Physical Therapy Assistant in Panama City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

4419 Tram Rd
Panama City, FL 32404-2559
Phone: (850) 747-5401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTAT33491 (FL)

Record details

NPI number1669213963
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address1089 Overpass Rd, Cottondale, FL 32431-8943

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