Individual
MACKENZIE LOUISE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
7711 GREENBACK LN APT 104, CITRUS HEIGHTS, CA 95610-5812
(530) 844-8759
Mailing address
7711 GREENBACK LN APT 104, CITRUS HEIGHTS, CA 95610-5812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72789
CA
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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