Individual
HAILEY LUCILE KAHRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W IDAHO BLVD, EMMETT, ID 83617-9694
(208) 365-3597
Mailing address
5460 EL PASO RD, CALDWELL, ID 83607-7417
(208) 697-2705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1504
ID
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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