Individual
MRS. CELINA MAE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB, CR, CIMT
Contact information
Practice address
315 WALNUT ST, MONTICELLO, MN 55362-8839
(612) 702-1338
Mailing address
8240 173RD AVE SE, BECKER, MN 55308-5101
(612) 702-1338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
560863-08
MN
Other
Enumeration date
03/12/2013
Last updated
08/29/2016
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