Provider Demographics
NPI:1245801984
Name:JONES, MAKENZIE RAE (DC)
Entity Type:Individual
Prefix:DR
First Name:MAKENZIE
Middle Name:RAE
Last Name:JONES
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 1:3103 CUBA BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2050
Mailing Address - Country:US
Mailing Address - Phone:318-372-6986
Mailing Address - Fax:
Practice Address - Street 1:2626 S LOOP W STE 645
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2693
Practice Address - Country:US
Practice Address - Phone:832-986-5674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-04
Last Update Date:2021-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor