Individual
KEVIN LAWRENCE ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1435 S MAPLE GROVE RD, STE 201, BOISE, ID 83709-1611
(208) 322-6200
(208) 322-6233
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
11/08/2012
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