Jenna L Mckiddy (NPI# 1497154389, PAC ID# 1153543533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1497154389 |
| PAC ID by PECOS | 1153543533 |
| Professional Enrollment ID | I20141120000121 |
| Full Name | Jenna L Mckiddy |
| Organization Legal Name | PRO-ACTIVE REHAB, INC |
| Address |
1308 Military Rd Benton AR 72015-2911 |
| Phone Number | 5017784960 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2668482340 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1308 Military Rd, Benton, AR 72015-2911 | 5017784960 | PRO-ACTIVE REHAB, INC |
| Organization Legal Name | PRO-ACTIVE REHAB, INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista J Koder | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Nicholas G Dobbs | Physical Therapy | Pro-active Rehab, Inc | 640 Mlk Blvd, Malvern, AR 72104-2632 |
| Daniel B Myers Jr. | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Michael Johnson | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| James R Lee | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Sarah Mechelle Phillips | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Randall W Jerry | Physical Therapy | Pro-active Rehab, Inc | 640 Mlk Blvd, Malvern, AR 72104-2632 |
| Mackenzie C Schluterman | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Street Address |
1308 MILITARY RD |
| City | BENTON |
| State | AR |
| Zip | 72015-2911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista J Koder | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Daniel B Myers Jr. | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Michael Johnson | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| James R Lee | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Sarah Mechelle Phillips | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Mackenzie C Schluterman | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Louise White | Clinical Social Worker | Birch Tree Communities Inc | 1506 Mary Kay Blvd, Benton, AR 72015 |
| Bradford Holloway | Clinical Social Worker | Birch Tree Communities Inc | 1502 Mary Kay Blvd, Benton, AR 72015-0001 |
| Christopher T Culpepper | Chiropractic | Pain Care Associates P A | 1900 Military Rd, Suite 1, Benton, AR 72015-2819 |
| Jennifer N Eidson | Clinical Social Worker | Saline Psychological Services Inc. | 1212 Military Rd, Suite D, Benton, AR 72015-2845 |
| Rebecca L Schlau | Psychologist, Clinical | Saline Psychological Services Inc. | 1212 Military Rd, Suite D, Benton, AR 72015-2845 |
| John V Baka | Obstetrics/gynecology | 1220 Military Rd, Benton, AR 72015-2908 | |
| Mark Albey | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Kristen Wright | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Lisa R Barker | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| James R Adametz | Neurosurgery | Neuroscience Associates | 1304 Military Rd, Benton, AR 72015-2911 |
| Find all physicians in zip 72015 | |||
| City | BENTON |
| Zip Code | 72015 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BENTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jenna L Mckiddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.