Organization
KINESIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN W SCOTT MPT (OWNER)
(208) 939-9895
Entity
Organization
Contact information
Practice address
450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
(208) 939-9895
(208) 947-0926
Mailing address
450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
(208) 939-9895
(208) 947-0926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
05/20/2008
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