Individual
ASHTON RENE' LAFOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
2622 W PLEASANTON AVE, BOISE, ID 83702-3841
(406) 498-8273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7530
ID
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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