Individual
MR. JOHN ALEXANDER MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
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
Update your record
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