NPI 1134825417 · live from the CMS NPI Registry
Mackenzie Bravence
Speech-Language Pathologist, in Lawrence, KS. National Provider Identifier 1134825417, active.
NPI record
| NPI | 1134825417 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4911 Legends Dr, Lawrence, KS 66049 |
| Practice phone | 785-831-3053 |
| Enumerated | February 7, 2023 |
| Last updated | July 7, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 4108 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.