Individual
KILEY PETENCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
197 E 19TH ST, IDAHO FALLS, ID 83404-6020
(434) 825-4316
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-1736
ID
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us