Organization
KISMET PC
Active
Organization
KISMET PC
Active
Other names
Stafford Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN A STAFFORD DPT (OWNER/PROVIDER)
(208) 991-8487
Entity
Organization
Contact information
Practice address
280 E JACKSON ST, MOUNTAIN HOME, ID 83647
(208) 991-8487
Mailing address
280 E JACKSON ST, MOUNTAIN HOME, ID 83647-2708
(208) 991-8487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
PT-2466
ID
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up