Provider Demographics
NPI:1922371822
Name:DEMPSEY, MACKENZIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MACKENZIE
Other - Middle Name:
Other - Last Name:SPOONTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1260 PIN OAK RD
Mailing Address - Street 2:STE 108
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6850
Mailing Address - Country:US
Mailing Address - Phone:281-395-5599
Mailing Address - Fax:
Practice Address - Street 1:1301 W PERSIMMON ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3345
Practice Address - Country:US
Practice Address - Phone:870-336-0238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1208873225100000X
ARPT5273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist