| Doctor Name: | MACKENZE JOHN CIMBURA |
| NPI Number: | 1093035867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 1572 |
| Business Practice Address: | 2422 20th St Sw Jamestown, ND - 584016201 |
| Business Phone Number: | 7019524800 |
| Business Fax Number: | |
| Mailing Address: | 8510 49th St Se, MONTPELIER |
| State: | ND |
| Postal Code: | 584729706 |
| Phone Number: | 7016400074 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2010 |
| NPI Last Update Date: | 04/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |