Provider Demographics
NPI:1235678392
Name:STEENERSON, MAKENZIE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:MAKENZIE
Middle Name:LYNN
Last Name:STEENERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7424 E POINT DOUGLAS RD S STE 300
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3025
Mailing Address - Country:US
Mailing Address - Phone:651-458-5565
Mailing Address - Fax:651-458-5023
Practice Address - Street 1:7424 E POINT DOUGLAS RD S STE 300
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3025
Practice Address - Country:US
Practice Address - Phone:514-585-5656
Practice Address - Fax:651-458-5023
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor