Provider Demographics
NPI:1932764214
Name:HOY, MACKENZIE (DC)
Entity Type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:HOY
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 1:720 4TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASECA
Mailing Address - State:MN
Mailing Address - Zip Code:56093-2839
Mailing Address - Country:US
Mailing Address - Phone:507-461-3689
Mailing Address - Fax:
Practice Address - Street 1:109 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-3040
Practice Address - Country:US
Practice Address - Phone:507-461-3689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor