Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ethan Poley McKenna

Individual provider Occupational Therapy Assistant · NPI 1669198594

Mr. Ethan Poley McKenna is an Occupational Therapy Assistant in Portsmouth, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2022

Practice location Address checks out

9 Osprey Dr
Portsmouth, NH 03801-3335
Phone: (484) 794-4037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 0893 (NH)

Record details

NPI number1669198594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

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