Individual
JENNA MCKIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
1601 MLK BLVD, MALVERN, AR 72104-2016
(501) 467-8275
Mailing address
3962 COUNTRY CLUB RD, MALVERN, AR 72104-7164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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