Individual
DEANNA C KINSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
290 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 468-5970
(208) 463-3044
Mailing address
217 W GEORGIA AVE, SUITE 115, NAMPA, ID 83686-6811
(208) 463-3234
(208) 463-3044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2252
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8078745
—
ID
01
—
P00421395
RAILROAD MEDICARE
—
Enumeration date
09/25/2007
Last updated
02/09/2010
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