Individual
JACQUELINE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 CENTER AVE W, DILWORTH, MN 56529-1346
(218) 892-6002
Mailing address
1523 5TH AVE N, MOORHEAD, MN 56560-2163
(218) 892-6002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
32
MN
Other
Enumeration date
03/18/2025
Last updated
04/15/2025
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