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

Individual provider Physical Therapist · NPI 1104348861

Mackenzie Van Loo, PT is a Physical Therapist in Bend, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

336 SW Cyber Dr Ste 107
Bend, OR 97702
Phone: (541) 382-5500
Fax: (541) 389-5669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2191 Nw 2nd St Bldg 4, McMinnville, OR 97128-9106 — (503) 434-9594
  • 2191 Nw 2nd St Bldg 4, McMinnville, OR 97128-9106 — (503) 434-9594

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 62296 (OR)

Record details

NPI number1104348861
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 13, 2017
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022
Mailing addressPo Box 1517, Pendleton, OR 97801-0410

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