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Individual

KRISTI J. MCMAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
(208) 489-5060
(208) 489-5061
Mailing address
3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
(208) 489-5060
(208) 489-5061

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
ID-1982
ID

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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