Individual
KEVIN SPIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3025 W CHERRY LN STE D, MERIDIAN, ID 83642
(208) 367-8593
(208) 367-8595
Mailing address
901 N CURTIS RD STE 204, BOISE, ID 83706-1340
(208) 367-3315
(208) 367-2674
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-2559
ID
Other
Enumeration date
02/09/2012
Last updated
07/11/2018
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