Kellogg Physical Therapy INC

NPI #1700898376 in Kellogg, Idaho

Provider Information

NPI Number: 1700898376
Entity Type: Organization
Organization Name: Kellogg Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 740 MCKINLEY AVE
City: Kellogg
State: Idaho
ZIP Code: 83837-2693
Phone: (208) 783-3015

Authorized Official

Name: SCOTT L HALL, PT
Title: OWNER
Phone: (208) 783-3015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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