Kelley A Phipps

NPI #1831442649 in Fruitland, Idaho

Provider Information

NPI Number: 1831442649
Entity Type: Individual
Name: Kelley A Phipps
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 17, 2012
Last Updated: Oct 17, 2012

Practice Location

Address: 1209 NW 19TH ST
City: Fruitland
State: Idaho
ZIP Code: 83619-2016
Phone: (208) 949-7569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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