Individual
TARA KAZEMFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
621 MAIN ST STE A, LEWISTON, ID 83501-1871
(509) 769-7551
(509) 254-5018
Mailing address
621 MAIN ST STE A, LEWISTON, ID 83501-1871
(509) 769-7551
(509) 254-5018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5290
ID
Other
Enumeration date
08/06/2019
Last updated
12/11/2023
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