Individual
LEANN MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 E PARK ST, WEISER, ID 83672-2053
(208) 549-0206
Mailing address
846 HAAS RD, WEISER, ID 83672-5064
(208) 549-0506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-462
ID
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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