Krista Hartley, PTA

NPI #1124226204 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1124226204
Entity Type: Individual
Name: Krista Hartley, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 10, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 2200 IRONWOOD PL
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-2610
Phone: (208) 667-6486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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