Individual
JODIE KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 250-5083
Mailing address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 250-5083
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
02/10/2017
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