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Mackenzie Johnson
NPI 1366215667 · on the registry since 2023 · sole proprietor
Practice
- Address
- 13816 N 65th E
Idaho Falls, ID 83401 - Phone
- (208) 221-8688
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Sex
- Female
- Record last updated
- 2023-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho