Individual
KHRISTOPHER EDWARD KORELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2635 CALDWELL BLVD, SUITE B, NAMPA, ID 83651-6407
(208) 442-0577
(208) 442-7455
Mailing address
1159 E IRON EAGLE DR ST 170, EAGLE, ID 83616-6871
(208) 514-0670
(208) 549-7880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2871
ID
Other
Enumeration date
06/08/2011
Last updated
11/16/2016
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