Individual
MR. KEVIN BRETT NATTRESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
215 N WHITLEY DR, SUITE 1, FRUITLAND, ID 83619-2705
(208) 452-6366
(208) 452-6399
Mailing address
215 N WHITLEY DR, SUITE 1, FRUITLAND, ID 83619-2705
(208) 452-6366
(208) 452-6399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RPT550
ID
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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