Individual
MICHELLE DIANE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7212 US 31 S, INDIANAPOLIS, IN 46227-8549
(317) 889-9822
(317) 889-6500
Mailing address
7148 BEL MOORE CIR, INDIANAPOLIS, IN 46259-9666
(317) 750-8792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006844A
IN
Other
Enumeration date
12/07/2011
Last updated
02/17/2022
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