Individual
MACKENZIE ROSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3761 N MALL AVE STE 3, FAYETTEVILLE, AR 72703-4972
(479) 435-6888
Mailing address
3761 N MALL AVE STE 3, FAYETTEVILLE, AR 72703-4972
(479) 435-6888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12411
AR
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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