NPI 1073973301

Ketha Mead

Practitioner Developmental Therapist Moscow, ID

Practice location

Address: 1350 Troy Rd Suite 2, Moscow, ID 83843-3995
Phone: (208) 882-6912
Fax: (208) 882-8575

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Idaho →

Registry record

NPI: 1073973301
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Feb 2016
Record last updated: 29 Feb 2016

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.