Kathleen Madonna Mackenna, P.T.

NPI #1588806517 in Spring Lake, Michigan

Provider Information

NPI Number: 1588806517
Entity Type: Individual
Name: Kathleen Madonna Mackenna, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 17206 VAN WAGONER RD
City: Spring Lake
State: Michigan
ZIP Code: 49456-9702
Phone: (616) 847-5154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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