Individual
MISS BRENNA KELLY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
11260 OLD SEWARD HWY, ANCHORAGE, AK 99515-3098
(907) 341-5555
(907) 334-5705
Mailing address
11260 OLD SEWARD HWY, ANCHORAGE, AK 99515-3098
(907) 341-5555
(907) 334-5705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2631
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600361
—
AK
Enumeration date
08/22/2013
Last updated
06/11/2019
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