Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE JOHNSON
Active Sole ProprietorMACKENZIE JOHNSON is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in IDAHO FALLS, Idaho. NPI 1366215667 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1366215667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2023 (2.8081256902494 yrs)
- Last Updated
- Oct 30, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
13816 N 65TH EIDAHO FALLS, ID, 834015319Browse ID providers · Browse ZIP 83401
- Phone
- 2082218688
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.