MALLORY ANN MCKENNA (NPI# 1265058572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265058572 |
| Entity Type | Individual |
| Full Name | MALLORY ANN MCKENNA |
| Practice Address |
3488 Jeffco Blvd Ste 102 Arnold MO 63010-6015 |
| Practice Telephone | 6364645439 |
| Mailing Telephone | 6364645439 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2020017363 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3488 JEFFCO BLVD STE 102 |
| City | ARNOLD |
| State | MO |
| Zip Code | 63010-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023155033 | Karen Lynn Wild | Physical Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2007-01-31 |
| 1780297531 | Ashley Race | Occupational Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2020-08-30 |
| 1124630702 | Kathryn Whightsel | Physical Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2020-08-17 |
| 1871115477 | Molly Sue Grabill | Occupational Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2020-05-18 |
| 1710547955 | Maryanne Mclaughlin | Speech-Language Pathologist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2019-06-19 |
| 1700347077 | Meredith Paige Groves | Speech-Language Pathologist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2019-03-28 |
| 1114410198 | Madeline Marie Martin | Speech-Language Pathologist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2018-06-13 |
| 1881185650 | Kaitlyn Emily Waehner | Physical Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2018-05-28 |
| 1639675598 | Mallory Paige Cicchillo | Physical Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2018-03-31 |
| 1962905349 | Elizabeth Catherine Jenkins | Speech-Language Pathologist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952962474 | Kayla Davelle Thompson | Occupational Therapist | 4 Arnold Park Mall, Arnold, MO 63010 | 2019-06-25 |
| 1750884466 | Casey Brooks | Chiropractor | 28 Fox Valley Ctr, Arnold, MO 63010 | 2018-03-09 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1235668633 | Lauren Mareschal | Occupational Therapist | 4 Arnold Park, Arnold, MO 63010 | 2017-06-08 |
| 1851760292 | Valerie Tribl | Registered Nurse | 3937 Vogel Road, Walgreens Healthcare Clinic, Arnold, MO 63010 | 2015-09-16 |
| 1942615265 | Rachel Kyllo | Dermatology | 3783 Vogel Rd, Arnold, MO 63010 | 2014-06-25 |
| 1538584669 | Alex Sharifian Dds Water Tower Dental Group PC | Dentist | 2231 Michigan Avenue, Arnold, MO 63010 | 2014-02-26 |
| 1669897815 | Diana E Toler | Chiropractor | 2190 Tenbrook Rd, Arnold, MO 63010 | 2014-02-25 |
| 1902163280 | Sheila Kay Schaefer | Physical Therapist | 3488 Jeffco Blvd., Suite 102, Arnold, MO 63010 | 2012-04-11 |
| 1639400179 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | #160 Richardson Crossing, Arnold, MO 63010 | 2010-01-22 |
| Find all providers in zip 63010 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023155033 | Karen Lynn Wild | Physical Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2007-01-31 |
| 1689033904 | Kasey Mcmullen | Physical Therapist | 3488 Jeffco Blvd, Arnold, MO 63010-6015 | 2016-02-15 |
| 1386019230 | Jennifer Bullock-wells | Physical Therapist | 3488 Jeffco Blvd, Ste 102, Arnold, MO 63010-6015 | 2015-12-03 |
| 1659749364 | Nicole Meyer | Physical Therapist | 3488 Jeffco Blvd, Suite 102, Arnold, MO 63010-6015 | 2015-09-11 |
| 1033468301 | Jacqueline Kaye Rosenthal | Physical Therapist | 3488 Jeffco Blvd, Suite 102, Arnold, MO 63010-6015 | 2012-09-02 |
| 1164796785 | Brandi Rachelle Miller | Physical Therapist | 3488 Jeffco Blvd, Ste 102, Arnold, MO 63010-6015 | 2012-02-29 |
| 1598052409 | Kristen Stauber | Physical Therapist | 3488 Jeffco Blvd, Suite 102, Arnold, MO 63010-6015 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951176 | Mighty Kids Pediatric Therapy | Physical Therapist | 829 Hwy 150, Lee's Summit, MO 64082-6408 | 2020-01-17 |
| 1609330372 | Kids Care Pediatric Therapies | Physical Therapist | 1948 S Glenstone Ave Ste 104, Springfield, MO 65804-2305 | 2019-01-28 |
| 1891249009 | Katherine Norrick | Physical Therapist | 1302 Beulah Dr, Festus, MO 63028-1039 | 2016-08-05 |
| 1003275918 | Christine Scheman | Physical Therapist | 4441 Chouteau Ave., Apt. 3316, St. Louis, MO 63110 | 2016-02-19 |
| 1275914905 | Alexandra Mazur | Physical Therapist | 5540 Shaw Ave, Saint Louis, MO 63110-2730 | 2015-06-18 |
| 1437410172 | Jennifer Ann Belden | Physical Therapist | 12215 Roger Ln, Saint Louis, MO 63131-4321 | 2012-05-30 |
| 1336426386 | Kesia Danner-bowman | Physical Therapist | 2898 S Eldon Ave, Springfield, MO 65807-5532 | 2011-11-04 |
| 1215227954 | Bethany Diane Adler | Physical Therapist | 1005 Yellowstone St, Nixa, MO 65714-8671 | 2011-04-14 |
| 1891962452 | Tiffany Lyn Mussman | Physical Therapist | 10015 N Ambassador Dr Ste 104, Kansas City, MO 64153-1437 | 2008-05-13 |
| 1104092147 | Melissa Joan Turner | Physical Therapist | 22103 S Walnut Bluff Rd, Pleasant Hill, MO 64080-9399 | 2008-04-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.