Individual
JANE KINYOUN-WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 883-1522
(208) 883-6452
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 883-1522
(208) 883-6452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
442-PT
MT
225100000X
Physical Therapist
9647
WA
225100000X
Physical Therapist
Primary
PT-2006
ID
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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