Individual
KENDELL LEIGH ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
229 S 7TH ST, ST MARIES, ID 83861-1803
(425) 315-2503
Mailing address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-5551
(208) 245-5246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7427
ID
Other
Enumeration date
08/30/2024
Last updated
09/11/2024
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