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
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8350
- Phone
- (208) 406-1129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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