Individual
KACIE SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10790 W OVERLAND RD, BOISE, ID 83709-1329
(208) 322-8709
Mailing address
12491 W AZURE ST, BOISE, ID 83713-2211
(319) 329-6345
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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