Organization
KELLOGG PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L HALL PT (OWNER)
(208) 783-3015
Entity
Organization
Contact information
Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 783-3015
(208) 783-3015
Mailing address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 783-3015
(208) 783-3015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT631
ID
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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