Individual
LINDSEY KETTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CSCS
Contact information
Practice address
754 N COLLEGE RD STE D, TWIN FALLS, ID 83301-5822
(208) 734-5313
Mailing address
754 N COLLEGE RD STE D, TWIN FALLS, ID 83301-5822
(208) 734-5313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-4184
STATE LICENSE
ID
Enumeration date
07/06/2015
Last updated
08/04/2015
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