Provider Demographics
NPI:1871893602
Name:MCKENZIE, NYA STEINBERGEN (DPT)
Entity type:Individual
Prefix:MRS
First Name:NYA
Middle Name:STEINBERGEN
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 1:4861 BLAGDEN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3715
Mailing Address - Country:US
Mailing Address - Phone:240-997-0449
Mailing Address - Fax:
Practice Address - Street 1:407 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4823
Practice Address - Country:US
Practice Address - Phone:301-652-2522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist