Individual
W MICHAEL MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3300 N BROADWAY ST, KNOXVILLE, TN 37917-2733
(865) 689-2052
Mailing address
4206 ROBERT LOVE DR, KNOXVILLE, TN 37914-3136
(865) 524-8299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4031
TN
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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