Individual
TRISTA BILLINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
943 N LINDER RD, KUNA, ID 83634-3394
(559) 999-7067
Mailing address
1016 E ESQUEL ST, KUNA, ID 83634-4891
(559) 999-7067
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6671145
ID
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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