NPI 1477311876

Kira Koenig, PTA

Practitioner Physical Therapy Assistant Fruitland, ID

Practice location

Address: 2175 N Whitley Dr, Fruitland, ID 83619-2132
Phone: (208) 452-7197
Mailing address: 18 N Joseph Dr, Nampa, ID 83651-2135

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1477311876
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2024
Record last updated: 11 Mar 2024

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.