Individual
JALYNN MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3203
Mailing address
58685 SILVERS LN, HANNIBAL, MO 63401-7764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09879R
LA
Other
Enumeration date
12/25/2018
Last updated
09/30/2019
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