Organization
PERFORMANCE PHYSIO PLLC
Active
Other names
Performance Health and Wellness, Performance Physio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE JOSEPH PALMER PT (OWNER)
(509) 780-1090
Entity
Organization
Contact information
Practice address
621 MAIN ST STE A, LEWISTON, ID 83501-1871
(509) 769-7551
(509) 254-5018
Mailing address
621 MAIN ST STE A, LEWISTON, ID 83501-1871
(509) 769-7551
(509) 254-5018
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
01/28/2021
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