Individual
MS. BETTY JOY KNOESPEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
314 S RIVER ST, HAILEY, ID 83333-8426
(208) 788-6312
Mailing address
110 JASPER ST, BELLEVUE, ID 83313-5086
(208) 788-4075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 256
ID
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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