Provider Demographics
NPI:1649570722
Name:MCGINNIS, TERRY KATHLEEN
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:KATHLEEN
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 CACHE PEAK DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-1122
Mailing Address - Country:US
Mailing Address - Phone:775-250-1089
Mailing Address - Fax:
Practice Address - Street 1:480 GALLETTI WAY # 8A
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5564
Practice Address - Country:US
Practice Address - Phone:775-688-1633
Practice Address - Fax:775-688-1640
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-24
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner