IndividualActive
Mackenzie Johnson
NPI 1366215667 · Speech-Language Assistant · Idaho Falls, ID
Provider details
- NPI number
- 1366215667
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
13816 N 65th E
Idaho Falls, ID 83401-5319
Phone: (208) 221-8688
Approximate (ZIP-level) locationGet directions
Mailing address
13816 N 65th E
Idaho Falls, ID 83401-5319
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.