KELLY L MACKENZIE

JACKSON, WY
NPI1932076775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-2544)
Enumeration Date2025-10-17
Last Update Date2025-10-17
Business Address
KELLY L MACKENZIE
555 E BROADWAY AVE # 100
JACKSON, WY 83001-8640
Phone number: 208-709-2018
Mailing Address
KELLY L MACKENZIE
555 E BROADWAY AVE # 100
JACKSON, WY 83001-8640
Phone number: 208-709-2018