Provider Demographics
NPI:1861948945
Name:MACPHIE, ALEXANDRA DRECHSEL (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:DRECHSEL
Last Name:MACPHIE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10304
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83002-0304
Mailing Address - Country:US
Mailing Address - Phone:207-491-8989
Mailing Address - Fax:
Practice Address - Street 1:225 ASPEN DR UNIT 2
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-8611
Practice Address - Country:US
Practice Address - Phone:207-491-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME5592225100000X
WY1658225100000X
WY1662225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist