Individual
ALEXIS MAKENZIE BONNY ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 BOLIN DR, TOPPENISH, WA 98948-1644
(509) 865-4455
(509) 453-2057
Mailing address
2205 W YAKIMA AVE, YAKIMA, WA 98902-2870
(509) 388-5626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60755001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086086
—
WA
Enumeration date
08/15/2017
Last updated
03/11/2025
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