Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly L Mackenzie

Individual provider Physical Therapist · NPI 1932076775

Kelly L Mackenzie is a Physical Therapist in Jackson, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2025

Practice location Address checks out

555 E Broadway Ave # 100
Jackson, WY 83001-8640
Phone: (208) 709-2018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2544 (WY)

Record details

NPI number1932076775
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address555 E Broadway Ave # 100, Jackson, WY 83001-8640

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