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

Individual provider Physical Therapy Assistant · NPI 1659505733

Mackenzie Marie Krom, PTA is a Physical Therapy Assistant in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
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

22 Masonic Ave
Wallingford, CT 06492-3048
Phone: (203) 679-5900
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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 · Licence 000954 (CT)

Record details

NPI number1659505733
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 5, 2009
Last updated in NPPESMay 5, 2009

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