Individual
KRISTINA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N 5TH AVE, RIDGEFIELD, WA 98642-3812
(406) 539-3948
Mailing address
123 N 5TH AVE, RIDGEFIELD, WA 98642-3812
(406) 539-3948
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60606688
WA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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