MS. Kathy Gammon, RPT,P.A.
NPI #1285858092 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1285858092
- Entity Type
- Individual
- Name
- MS. Kathy Gammon, RPT,P.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- RPT,P.A.
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 555 W 25TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-4527
- Phone
- (208) 524-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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