Individual
JOHN L MCKINNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1111 W WELLESLEY AVE, FOUR SEASONS PHYSICAL THERAPY, SPOKANE, WA 99205-1274
(509) 327-1578
(509) 327-1596
Mailing address
1111 W WELLESLEY AVE, SPOKANE, WA 99205-1274
(509) 448-9358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7022700
—
WA
05
—
8345837
—
WA
01
—
R12248
L AND I
WA
Enumeration date
12/06/2005
Last updated
02/05/2019
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