Provider / Organization | NPI | Date Certified |
---|---|---|
DOAN MACKENZIE | 1356063127 | 2022-09-16 |
Doan Mackenzie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356063127. Registration indicates Doan Mackenzie is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Dr. Doan Mackenzie PT, DPT |
Practice Office Address | 12380 DE PAUL DR BRIDGETON, MO US |
Practice Office Telephone | 3144479700 |
Mailing Address | 1470 LINDSAY LN FLORISSANT, MO 630314251 US |
Business Telephone | 7183096183 |
Code | Practice | License No State |
---|---|---|
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 2022030883
MO |