Individual
HOLLY E MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 ALABAMA AVE SE, BANDON, OR 97411-9163
(719) 922-1365
Mailing address
PO BOX 114, LANGLOIS, OR 97450-0114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28863
OR
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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