Organization
FOOTHILLS REHABILITATION & PERFORMANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHELDON KENNEDY DPT (OWNER)
(208) 529-3562
Entity
Organization
Contact information
Practice address
3814 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 529-3562
(208) 529-4064
Mailing address
3814 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 529-3562
(208) 529-4064
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
ID
Other
Enumeration date
04/06/2007
Last updated
06/02/2008
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