Individual provider · Type 1 NPI

Candace Ann McKinnon, DPT

Pediatric Physical Therapist · Salt Lake City, UT

NPI number 1710439096 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

225 W 200 N
Midway, UT 84049-6344

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X10092267-2401 (UT)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1710439096

Candace Ann McKinnon, DPT's National Provider Identifier is 1710439096, issued on Nov 2, 2016. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 2, 2016.