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Organization

SMALL STEPS PEDIATRIC THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN SPIEGEL DPT (MEMBER-OWNER)
(208) 629-8927
Entity
Organization

Contact information

Practice address
6180 W EMERALD ST, BOISE, ID 83704
(208) 629-8927
(208) 629-7922
Mailing address
6180 W EMERALD ST, BOISE, ID 83704
(208) 629-8927
(208) 629-7922

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
235Z00000X
Speech-Language Pathologist
261QP2000X
Physical Therapy Clinic/Center
PT-2559
ID

Other

Enumeration date
02/15/2012
Last updated
10/04/2013
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