Individual
KAYLA BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
730 E GREGORY LN, COEUR D ALENE, ID 83815-5168
(928) 517-1157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17043
MT
225100000X
Physical Therapist
30418
AZ
225100000X
Physical Therapist
Primary
7042
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17043
MONTANA STATE BOARD OF PHYSICAL THERAPY
MT
01
—
30418
ARIZONA STATE BOARD OF PHYSICAL THERAPY
AZ
01
—
7062
IDAHO STATE BOARD OF PHYSICAL THERAPY
ID
Enumeration date
05/07/2020
Last updated
09/06/2021
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