Healthcare Provider Details

I. General information

NPI: 1023697174
Provider Name (Legal Business Name): MCKENZEE SCHULTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37584 N GANTZEL RD STE 105
QUEEN CREEK AZ
85140-7547
US

IV. Provider business mailing address

1050 E RAY RD STE 4A
CHANDLER AZ
85225-1777
US

V. Phone/Fax

Practice location:
  • Phone: 480-257-3177
  • Fax:
Mailing address:
  • Phone: 480-659-2000
  • Fax: 480-659-3201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number5645
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number13486
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number9160
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: