Individual
KILEY DEVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
16211 N BRINSON ST SPC 100, NAMPA, ID 83687-5521
(208) 936-2522
Mailing address
16211 N BRINSON ST SPC 100, NAMPA, ID 83687-5521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8061479
ID
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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