Kinport Physical Therapy

NPI #1740947472 in Pocatello, Idaho

Provider Information

NPI Number: 1740947472
Entity Type: Organization
Organization Name: Kinport Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Nov 17, 2021
Last Updated: Nov 17, 2021

Practice Location

Address: 920 DEON DR
City: Pocatello
State: Idaho
ZIP Code: 83201-3069
Phone: (207) 446-5994

Authorized Official

Name: BRYAN LAWSON, DPT
Title: OWNER
Phone: (207) 446-5994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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