Mikaela Virgin, PT

NPI #1871210500 in Kuna, Idaho

Provider Information

NPI Number: 1871210500
Entity Type: Individual
Name: Mikaela Virgin, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 24, 2022
Last Updated: Oct 27, 2022

Practice Location

Address: 672 E WYTHE CREEK CT
City: Kuna
State: Idaho
ZIP Code: 83634-5216
Phone: (208) 922-9828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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