Provider Demographics
NPI:1124998109
Name:MCKENZIE, ANNE (DPT)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 BOUNDARY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6812
Mailing Address - Country:US
Mailing Address - Phone:843-524-4778
Mailing Address - Fax:843-524-4779
Practice Address - Street 1:2121 BOUNDARY ST STE 200
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6812
Practice Address - Country:US
Practice Address - Phone:843-524-4778
Practice Address - Fax:843-524-4779
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist