Kaitlin Bailey Livesay Vail

NPI #1063937134 in Pocatello, Idaho

Provider Information

NPI Number: 1063937134
Entity Type: Individual
Name: Kaitlin Bailey Livesay Vail
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 9, 2017
Last Updated: Aug 9, 2017

Practice Location

Address: 921 S 8TH AVE STOP 8045
City: Pocatello
State: Idaho
ZIP Code: 83201-5377
Phone: (208) 282-4095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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