Individual
MCKENNA MACKINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
109 S 65TH AVE STE 105, RIDGEFIELD, WA 98642-3408
(360) 309-6189
(360) 309-6193
Mailing address
109 S 65TH AVE STE 105, RIDGEFIELD, WA 98642-3408
(360) 309-6189
(360) 309-6193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT61069123
WA
2251X0800X
Orthopedic Physical Therapist
Primary
PT61069123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT61069123
PHYSICAL THERAPY LICENSE
WA
Enumeration date
09/18/2020
Last updated
09/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us