Individual
JESSICA MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 CALUMET AVE NW, DE SMET, SD 57231-2114
(605) 854-3327
Mailing address
2421 YORKSHIRE DR, BROOKINGS, SD 57006-2436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0480
SD
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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