Individual
MRS. MIRANDA KATHLEEN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
775 POLE LINE RD W STE 202, TWIN FALLS, ID 83301-5820
(208) 814-2570
Mailing address
775 POLE LINE RD W STE 202, TWIN FALLS, ID 83301-5820
(208) 814-2570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29616
CA
2251N0400X
Neurology Physical Therapist
Primary
PT-2458
ID
Other
Enumeration date
10/20/2005
Last updated
01/30/2018
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