Provider Demographics
NPI:1790228260
Name:KENT, MACKENZIE RACHEL (OTD)
Entity type:Individual
Prefix:DR
First Name:MACKENZIE
Middle Name:RACHEL
Last Name:KENT
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 S GIBSON RD APT 514
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-2434
Mailing Address - Country:US
Mailing Address - Phone:702-672-5116
Mailing Address - Fax:
Practice Address - Street 1:3145 E WARM SPRINGS RD STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3140
Practice Address - Country:US
Practice Address - Phone:702-808-8141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist