| Doctor Name: | CORY C MCKINNON |
| NPI Number: | 1114208220 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 9491 |
| Business Practice Address: | 580 N Camino Mercado Ste 13 Casa Grande, AZ - 851225757 |
| Business Phone Number: | 5208368621 |
| Business Fax Number: | |
| Mailing Address: | 580 N Camino Mercado, Suite 13 CASA GRANDE |
| State: | AZ |
| Postal Code: | 851225757 |
| Phone Number: | 5208368621 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 9491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |