Individual
REBECCA S MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(219) 365-6560
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06004826A
PTA LICENSE
IN
Enumeration date
11/25/2022
Last updated
11/25/2022
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