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

Mackenzie Hamblin, PTA

Individual provider Physical Therapy Assistant · NPI 1164032660

Mackenzie Hamblin, PTA is a Physical Therapy Assistant in Creve Coeur, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
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

850 Country Manor Ln
Creve Coeur, MO 63141-6651
Phone: (314) 434-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (MO)

Record details

NPI number1164032660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 9, 2020
Last updated in NPPESAugust 9, 2020
Certification dateAugust 9, 2020

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