Individual
GAGE KASPERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
64 S STAR RD # 2, STAR, ID 83669-5497
(208) 488-4250
Mailing address
828 6TH ST N, NAMPA, ID 83687-3323
(912) 237-5283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8871462
ID
225200000X
Physical Therapy Assistant
PTA004864
GA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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