Organization
KINPORT PHYSICAL THERAPY
Active
Other names
Kinport PT
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LAWSON DPT (OWNER)
(207) 446-5994
Entity
Organization
Contact information
Practice address
920 DEON DR, POCATELLO, ID 83201-3069
(207) 446-5994
Mailing address
920 DEON DR, POCATELLO, ID 83201-3069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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