Individual
ZHOHNANN KATHLEEN PIVA THAYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
510 N HIGHWAY 93, CHALLIS, ID 83226
(208) 454-9839
Mailing address
PO BOX 707, CHALLIS, ID 83226-0707
(208) 859-9570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2402
ID
Other
Enumeration date
07/16/2008
Last updated
10/12/2012
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