Individual
MIKAYLA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1590 E POLSTON AVE STE B, POST FALLS, ID 83854-5218
(208) 777-4242
(208) 777-4020
Mailing address
1590 E POLSTON AVE STE B, POST FALLS, ID 83854-5218
(208) 777-4242
(208) 777-4020
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5615
ID
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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