Jenna Mckiddy, PT,DPT

NPI #1497154389 in Malvern, Arkansas

Provider Information

NPI Number: 1497154389
Entity Type: Individual
Name: Jenna Mckiddy, PT,DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT,DPT
Enumeration Date: Aug 18, 2014
Last Updated: Aug 18, 2014

Practice Location

Address: 1601 MLK BLVD
City: Malvern
State: Arkansas
ZIP Code: 72104-2016
Phone: (501) 467-8275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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