Organization
PACIFIC HEALTHLINE PLLC
Active
Other names
Purpose Built Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KYNDAHL MARIE BRUNER DPT (DOCTOR OF PHYSICAL THERAPY)
(208) 935-5074
Entity
Organization
Contact information
Practice address
1501 S FIVE MILE RD, BOISE, ID 83709-1374
(208) 322-1008
(844) 647-2550
Mailing address
11078 W TIOGA ST, BOISE, ID 83709-3341
(208) 935-5074
(844) 647-2550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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