Individual
MR. JOHN ALEXANDER MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
250 E MAIN ST, NORTON, MA 02766-2436
(508) 285-5533
(508) 285-7977
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
(508) 285-5533
(508) 285-7977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16455
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033596
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0317161
—
MA
01
—
3474515
AETNA
MA
01
—
469362
TUFTS HEALTH PLAN
MA
01
—
Y68334
BCBSMA
MA
Enumeration date
01/14/2007
Last updated
07/09/2007
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