Individual
MICHELLE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2224 N CARROLL BLVD, DENTON, TX 76201-1834
(940) 387-6656
Mailing address
12408 SUNLAND AVE, RHOME, TX 76078-6030
(903) 272-9920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122211
PTA LICENSE
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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