Organization
CSRM LLC
Active
Other names
Kestrel Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MILLER JR. (MEMBER)
(208) 340-5099
Entity
Organization
Contact information
Practice address
7979 W RIFLEMAN ST STE 200, BOISE, ID 83704-9066
(208) 377-3850
Mailing address
235 N FLUME ST, BOISE, ID 83712-6318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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