MR. Kevin Douglas Racine, PT, DPT

NPI #1962035469 in Meridian, Idaho

Provider Information

NPI Number: 1962035469
Entity Type: Individual
Name: MR. Kevin Douglas Racine, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 13, 2020
Last Updated: Feb 13, 2020

Practice Location

Address: 1618 S MILLENIUM WAY STE 210
City: Meridian
State: Idaho
ZIP Code: 83642-6457
Phone: (208) 884-4647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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