Individual
KATHRYN M CROOKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9850 W ST LUKES DR STE 216, NAMPA, ID 83687-7912
(208) 385-3600
Mailing address
22604 AURA VISTA WAY, CALDWELL, ID 83607-5539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-9013
ID
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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