Individual
MARY E MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4008 COLTON DR, FORT SMITH, AR 72903-6350
(479) 637-0744
(479) 637-0755
Mailing address
56 W 2ND ST, WALDRON, AR 72958-7085
(479) 637-0744
(479) 637-0755
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
856
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
856
PHYSICAL THERAPIST
AR
Enumeration date
09/26/2011
Last updated
01/10/2012
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