NPI 1639277684

Devan Paul Kress, MPT

Practitioner Contractor Idaho Falls, ID

Practice location

Address: 2189 Stafford Cir, Idaho Falls, ID 83401-5979
Phone: (208) 542-5069

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2090 (ID)

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Registry record

NPI: 1639277684
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 2007

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.