Individual
DR. JACOB MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2101 KNOWLES DR, RUSTON, LA 71270-2618
(504) 834-9259
(504) 834-9281
Mailing address
2101 KNOWLES DR, RUSTON, LA 71270-2618
(318) 548-5034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07381
LA
Other
Enumeration date
09/11/2008
Last updated
03/09/2020
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