Mackintosh, Mckenna

Mackintosh, Mckenna is an individual health care provider with primary practice located at 109 S 65Th Ave Ste 105 , Ridgefield WA 98642-3408. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Mackintosh, Mckenna can be contacted via phone (360) 309-6189.

Contact Information

Primary practice address
109 S 65Th Ave Ste 105 Ridgefield WA 98642-3408
Phone: (360) 309-6189
Fax: (360) 309-6193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT61069123 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT61069123 Washington

Profile Details

NPI number 1477169001
LBN Legal business name Mackintosh, Mckenna
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2020
Last updated Sep 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477169001 NPPES
Washington Other PT61069123 PHYSICAL THERAPY LICENSE

Popular Providers