NPI 1063951168

Keystone Therapy

Organisation Physical Therapy Clinic/Center Eagle, ID

Practice location

Address: 1159 E Iron Eagle Dr Suite 170d, Eagle, ID 83616-6871
Phone: (208) 514-0670
Fax: (208) 549-7880

Authorised official

Name: Leonard Jensen
Title: President
Phone: (208) 514-0670

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1063951168
Entity type: Organization
NPI issued: 22 Feb 2017
Record last updated: 22 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.