Individual
STEPHANIE K HERNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8854 W EMERALD ST, SUITE 280, BOISE, ID 83704-4844
(208) 377-5005
(208) 377-8484
Mailing address
8854 W EMERALD ST, SUITE 280, BOISE, ID 83704-4844
(208) 377-5005
(208) 377-8484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305203517
VA
225100000X
Physical Therapist
Primary
PT-2255
ID
Other
Enumeration date
07/26/2005
Last updated
08/03/2007
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