MCKENZIE ALEXANDRA MCCLANAHAN (NPI# 1417560913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417560913 |
Entity Type | Individual |
Full Name | MCKENZIE ALEXANDRA MCCLANAHAN |
Credential | DPT |
Practice Address |
1751 Dancy Blvd Ste 2 Horn Lake MS 38637-1916 |
Mailing Address |
29 Normandy Cir Memphis TN 38111-6135 |
Practice Telephone | 9012925313 |
Practice Fax Number | 9018671603 |
Mailing Telephone | 9014912540 |
Mailing Fax Number | 9018671603 |
Enumeration Date | 2020-08-25 |
Last Update Date | 2020-08-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
12898 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1751 DANCY BLVD STE 2 |
City | HORN LAKE |
State | MS |
Zip Code | 38637-1916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629686126 | Ann Turner Troutt | Speech-Language Pathologist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184098733 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Goodman Road West, Horn Lake, MS 38637 | 2015-11-19 |
1609116581 | Horn Lake Eyecare Pllc | Optometrist | 2085 Goodman Rd, Horn Lake, MS 38637 | 2013-02-28 |
1487806121 | Midsouth Medical Specialties LLC | Pharmacy | 1433 Goodman Rd W, Horn Lake, MS 38637 | 2008-10-14 |
1356417992 | William E Middleton Jr Dds Pa | Dentist | 3011 Goodman Road W, Horn Lake, MS 38637 | 2006-11-27 |
1104297753 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2015-10-08 |
1134617178 | Connie Irene Worley | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-25 |
1598252710 | Justin Mathis | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-13 |
1730686932 | Bradley Thomas Loeffel | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-12 |
1437759388 | Sarah Walls | Private Vehicle | 3765 Hilltop Dr, Horn Lake, MS 38637-1030 | 2020-10-29 |
1497901417 | William E. Middleton Jr. | Dentist | 3011 Goodman Rd W, Horn Lake, MS 38637-1103 | 2008-08-10 |
Find all providers in zip 38637 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376916544 | Tracie Lee Thornton | Physical Therapist | 11 Dempsey Conn Rd, Hattiesburg, MS 39401-9041 | 2015-11-09 |
1407270333 | Creative Connections, Pllc | Physical Therapist | 4094 W Topisaw S, Summit, MS 39666-9785 | 2014-02-12 |
1184976037 | Kalyn Mcnair Dragon | Physical Therapist | 11845 River Estates Cir, Biloxi, MS 39532-8603 | 2012-10-02 |
1780978502 | Sporty Sprouts Inc | Physical Therapist | 104 Faith Way, Brandon, MS 39042-8676 | 2011-06-09 |
1962739722 | Coastal Plains Interagency Coordinating Council | Physical Therapist | 4063 Ginger Drie, Suite A, D'lberville, MS 39540-3705 | 2009-11-15 |
1174721047 | Kimberly Garrett Cooper | Physical Therapist | 112 Riverbend Cv, Brandon, MS 39047-8647 | 2007-07-03 |
1447371877 | Bethany B. Dill | Physical Therapist | 3815 Beauville Cv, Ocean Springs, MS 39564-8583 | 2007-04-03 |
1629680277 | Elizabeth Sueing C Sueing | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-08-17 |
1336758267 | Rachel Blake Tyrone | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-07-27 |
1245871664 | Kari Schumann | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2019-10-07 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MCKENZIE ALEXANDRA MCCLANAHAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.