MCKENNA MACKINTOSH (NPI# 1477169001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477169001 |
| Entity Type | Individual |
| Full Name | MCKENNA MACKINTOSH |
| Credential | DPT |
| Practice Address |
109 S 65th Ave Ste 105 Ridgefield WA 98642-3408 |
| Practice Telephone | 3603096189 |
| Practice Fax Number | 3603096193 |
| Mailing Telephone | 3603096189 |
| Mailing Fax Number | 3603096193 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT61069123 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT61069123 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PHYSICAL THERAPY LICENSE | PT61069123 | 01 |
| Street Address |
109 S 65TH AVE STE 105 |
| City | RIDGEFIELD |
| State | WA |
| Zip Code | 98642-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474893 | Truemotion Physical Therapy | Clinic/Center | 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 | 2020-07-11 |
| 1437764453 | Angela Giddings | Acupuncturist | 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137741 | Oasis Dental Ridgefield | Clinic/Center | 11 S. 47th Ave. Suite 101, Ridgefiled, WA 98642 | 2020-05-29 |
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1619459070 | Alina Gwin Johnson | Behavioral Analyst | 2613 Ne 161st, Ridgefeild, WA 98642 | 2018-09-02 |
| 1710325675 | Dennis Herbert Gillespie | Dentist | 109 S. 65th Ave., Suite 104, Ridgefield, WA 98642 | 2013-06-12 |
| 1336423508 | Amanda Lepley | Counselor | 20107 Ne 29th Ave, Ridgefield, WA 98642 | 2011-10-05 |
| 1356462675 | Battle Ground Physical Therapy | Clinic/Center | 2 South 56th Place, Suite 100, Ridgefield, WA 98642 | 2007-04-03 |
| 1245365386 | Marilyn Kay Milestone | Midwife | 8004 So. 5th St., Ridgefield, WA 98642 | 2007-02-22 |
| 1346246303 | Samuel W Richard | Family Medicine | 8507 South 5th Street, Suite 113, Ridgefield, WA 98642 | 2005-06-23 |
| 1710264171 | Generations Counseling | Community/Behavioral Health | 2 South 56th Place, Suite 201-c, Ridgefield, WA 98642 | 2011-11-12 |
| 1164659488 | Jonas Aharoni | Internal Medicine | 5515 Pioneer St, Ridgefield, WA 98642 | 2009-06-12 |
| Find all providers in zip 98642 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
| 1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
| 1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
| 1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
| 1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
| 1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
| 1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
| 1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
| 1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
| City | RIDGEFIELD |
| Zip Code | 98642 |
Please comment or provide details below to improve the information on MCKENNA MACKINTOSH.
| 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.