Individual
MS. KAYTIE FRIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, BIS, IP
Contact information
Practice address
425 AIRWAY AVE, LEWISTON, ID 83501-4517
(208) 503-9876
Mailing address
425 AIRWAY AVE, LEWISTON, ID 83501-4517
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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