MCKENZIE EDWARD LEE NPI 1356914659

NPI Information

NPI: 1356914659
Provider Name: MCKENZIE EDWARD LEE
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2500 BROADWAY UNIT B
GRAND JUNCTION, CO
ZIP 81507
Phone: (970) 644-5255
Get Directions

Mckenzie Edward Lee is a massage therapist in Grand Junction, CO. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Mckenzie Edward Lee NPI is 1356914659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 BROADWAY UNIT B
GRAND JUNCTION, CO
ZIP 81507-767
Phone: (970) 644-5255

The enumeration date for this NPI number is 7/23/2021 and was last updated on 7/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT.0021400	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	460839616	OTHER	COLORADO	TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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