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NPI Code Detail

MEDICARE: MRS. KIRSTEN MCCLENAHAN MSPT

MEDICARE:  MRS. KIRSTEN  MCCLENAHAN  MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist00009630WA
2225100000XPhysical Therapist019866PA

General Provider Information

NPI Number : 1578668919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIRSTEN MCCLENAHAN MSPT
Provider Business Mailing Address
First Line : 314 REGENT DR
Second Line :
City : LITITZ
State : PA
Zip : 17543-8301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 W END DR
Second Line :
City : MANHEIM
State : PA
Zip : 17545-9320
Country : US
Telephone Number : 717-664-4980
Fax Number : 717-664-4981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 06/08/2009

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Directions to “ MRS. KIRSTEN MCCLENAHAN MSPT” Practice Location

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