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Individual

KADE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT, CLT

Contact information

Practice address
3814 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 529-3562
Mailing address
3814 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3154
ID

Other

Enumeration date
04/07/2015
Last updated
04/07/2015
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