Individual
KACEY RINDLISBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 MONTANA ST, GOODING, ID 83330-1856
(208) 934-5601
Mailing address
7778 S CARSON ST, BOISE, ID 83709-6910
(208) 890-8663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5124
ID
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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