| NPI | 1548871726 |
|---|---|
| Former Name | MCKENNA KURTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16106-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020025705) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-06-20 |