Organization
KEY PERFORMANCE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCALEESE (OWNER)
(208) 251-5997
Entity
Organization
Contact information
Practice address
202 S 5TH AVE, POCATELLO, ID 83201-4980
(208) 251-5997
Mailing address
202 S 5TH AVE, POCATELLO, ID 83201-4980
(208) 251-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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