Individual
KATELYN JAYE LECHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4949 S HILLSDALE AVE, MERIDIAN, ID 83642-7586
(208) 706-6449
Mailing address
610 E WILLOWRIDGE CT, KUNA, ID 83634-3458
(208) 353-6275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7992
ID
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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