Individual
KENNA BRINKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5073 E GERANIUM ST, BOISE, ID 83716-7044
(208) 982-9590
Mailing address
5073 E GERANIUM ST, BOISE, ID 83716-7044
(208) 982-9590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13421134-2401
UT
225100000X
Physical Therapist
PT 21157
CA
225100000X
Physical Therapist
Primary
PT-4694
ID
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/19/2016
Last updated
11/02/2023
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