Individual
KELLY ADAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N ROBBINS RD, #101, BOISE, ID 83702-4565
(208) 489-4444
Mailing address
1483 N LUGE AVE, EAGLE, ID 83616-0078
(208) 922-6838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4117
ID
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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