Individual
DR. KYNDAHL MARIE BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1501 S FIVE MILE RD, BOISE, ID 83709-1374
(208) 322-1008
Mailing address
11078 W TIOGA ST, BOISE, ID 83709-3341
(208) 935-5074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7202
ID
Other
Enumeration date
03/31/2021
Last updated
11/04/2025
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