NPI 1366215667

Mackenzie Johnson

Practitioner Speech-Language Assistant Idaho Falls, ID

Practice location

Address: 13816 N 65th E, Idaho Falls, ID 83401-5319
Phone: (208) 221-8688

Registered specialties

Speech-Language Assistant Primary

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1366215667
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2023
Record last updated: 30 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.