Individual
MRS. KIMBERLY W SCHWARZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1951 BENCH RD, SUITE E, POCATELLO, ID 83201-2073
(208) 237-2080
(208) 237-1084
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT - 747
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010025954
NDPT REGENCE OF ID
ID
05
—
805477300
—
ID
01
—
T4785
NDPT BLUE CROSS OF ID
ID
Enumeration date
04/07/2006
Last updated
02/28/2023
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