MRS. Breanna L Kump, PTA-288

NPI #1982976767 in Idaho Falls, Idaho

Provider Information

NPI Number
1982976767
Entity Type
Individual
Name
MRS. Breanna L Kump, PTA-288
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA-288
Enumeration Date
Feb 8, 2012
Last Updated
Feb 8, 2012

Practice Location

Address
993 GRASSLAND DR
State
Idaho
ZIP Code
83404-8350
Phone
(208) 406-1129

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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