MEDICARE: JOY MCKENZIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1053250639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY MCKENZIE

Provider Business Mailing Address
First Line	:	920 4TH AVE E
Second Line	:
City	:	SARTELL
State	:	MN
Zip	:	56377-4590
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 1ST ST N
Second Line	:
City	:	WAITE PARK
State	:	MN
Zip	:	56387-1273
Country	:	US
Telephone Number	:	320-252-9595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ JOY MCKENZIE ” Practice Location

Language	Start Address	Practice Location

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