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Individual

KYLE J WESTHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
701 LEWISTON STREET, COTTONWOOD, ID 83522-0137
(208) 962-3251
(208) 962-3722
Mailing address
PO BOX 137, COTTONWOOD, ID 83522-0137
(208) 962-3251
(208) 962-3722

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2719
ID

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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