Individual
MCKENNA HAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4424 E FLAMINGO AVE STE 120, NAMPA, ID 83687-9291
(208) 205-0450
Mailing address
16765 N SEABRIGHT LN APT 3, NAMPA, ID 83687-4250
(986) 910-4298
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8249
ID
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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