Individual
KALEY KOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3277 E LOUISE DR, SUITE 410, MERIDIAN, ID 83642-9359
(208) 489-5825
(208) 489-4065
Mailing address
3277 E LOUISE DR, SUITE 410, MERIDIAN, ID 83642-9359
(208) 489-5825
(208) 489-4065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2723
ID
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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