Individual
SKILA JOSETTE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
560 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 737-2126
(208) 737-2972
Mailing address
560 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 737-2126
(208) 737-2972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2091
ID
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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