Koth Sports Physical Therapy, PA

NPI #1265524045 in Ketchum, Idaho

Provider Information

NPI Number
1265524045
Entity Type
Organization
Organization Name
Koth Sports Physical Therapy, PA
Primary Specialty
Physical Therapist
Enumeration Date
Sep 29, 2006
Last Updated
Jan 21, 2014

Practice Location

Address
101 SADDLE ROAD
State
Idaho
ZIP Code
83340-1510
Phone
(208) 726-9222

Authorized Official

Name
SHERRI L KOTH
Title
ITS SECRETARY/TREASURER, ITS BUS MG
Phone
(208) 788-3997

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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