Individual
MCKENZIE GAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4170 N BODENHEIMER ST, BOISE, ID 83703-4202
(208) 283-5349
Mailing address
4170 N BODENHEIMER ST, BOISE, ID 83703-4202
(208) 283-5349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20976
MA
225100000X
Physical Therapist
Primary
PT292173
CA
Other
Enumeration date
11/26/2016
Last updated
11/26/2016
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