NPI 1972089605

Kathleen Nansel, BACFSP

Practitioner Rehabilitation Practitioner Kellogg, ID

Practice location

Address: 740 McKinley Ave, Kellogg, ID 83837
Phone: (208) 783-1454
Mailing address: 740 McKinley Ave, Kellogg, ID 83837-2693

Registered specialties (2)

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in Idaho →

Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1972089605
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2018
Record last updated: 17 Jul 2018

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.