Individual
MCKENNA ADOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 PRONGHORN TRL, BOZEMAN, MT 59718-2435
(406) 585-9044
(406) 585-9220
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-12550
MT
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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