Individual
TODD BRYAN MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
337 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-7889
Mailing address
370 E WHITBECK ST, KUNA, ID 83634-5116
(208) 204-6696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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