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Individual

LINDSEY KAYE PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
365 W 400 N, BLACKFOOT, ID 83221-5476
(208) 681-1128
Mailing address
365 W 400 N, BLACKFOOT, ID 83221-5476
(208) 681-1128

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
ID

Other

Enumeration date
07/13/2007
Last updated
07/13/2007
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