Clifford Kiracofe, RPT

NPI #1427073212 in Hayden, Idaho

Provider Information

NPI Number
1427073212
Entity Type
Individual
Name
Clifford Kiracofe, RPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
RPT
Enumeration Date
Jul 13, 2006
Last Updated
Mar 31, 2008

Practice Location

Address
8836 N HESS ST
Address 2
STE C
City
Hayden
State
Idaho
ZIP Code
83835-8718
Phone
(208) 772-6991

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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