Jessica Mckenney
Physical Therapy Assistant
411 Calumet Ave Nw
De Smet
, South Dakota 57231-2114
Jessica Mckenney
Physical Therapy Assistant
411 Calumet Ave Nw
De Smet
, South Dakota 57231-2114
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jessica Mckenney
- 2421 Yorkshire Dr
- Brookings, SD
- Zip : 57006-2436
- Phone :
Second Address
- Jessica Mckenney
- 411 Calumet Ave Nw
- De Smet, SD
- Zip : 57231-2114
- Phone : (605) 854-3327
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 0480 | SD |
National Provider Identifier
| NPI | 1013472992 |
|---|---|
| Provider Name | Jessica Mckenney |
| First Address | Brookings, SD 57006-2436 |
| Second Address | De Smet, SD 57231-2114 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.