Individual
MCKENNA BRIANE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8382 N WAYNE DR STE 204, HAYDEN, ID 83835-6028
(208) 719-9071
Mailing address
6175 N 16TH ST, DALTON GARDENS, ID 83815-9603
(208) 819-7837
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-6791
ID
Other
Enumeration date
07/17/2020
Last updated
05/23/2023
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