Individual
KAITY KOBAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
1031 E MAIN ST, BURLEY, ID 83318
(208) 677-6530
Mailing address
1031 E MAIN ST, BURLEY, ID 83318-2029
(208) 677-6530
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-3220
ID
Other
Enumeration date
05/22/2013
Last updated
07/23/2018
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