Organization
PACIFIC HEALTHLINE PLLC
Active
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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