Individual
MACKENZIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8823
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1224525
TX
Other
Enumeration date
11/30/2012
Last updated
12/18/2018
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