Individual
PAMELA KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
223 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 449-0555
Mailing address
223 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 449-0555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3550
ID
225100000X
Physical Therapist
8924
CA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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