Koth Sports Physical Therapy, Pa

NPI 1265524045 - Physical Therapist - 225100000X

NPI Details
NPI 1265524045
Enumeration Date 09/29/2006
Last Updated 01/21/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHERRI L SHERRI
Position ITS SECRETARY/TREASURER, ITS BUS MG
Phone (208) 726-9222
Fax (208) 726-1607
Practice Location
101 SADDLE ROAD
KETCHUM ID, 83340-1510, US
Phone (208) 726-9222
Fax (208) 726-1607
Business Location
PO BOX 1510
KETCHUM ID, 83340-1510, US
Phone (208) 788-3997
Fax (208) 726-1607
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Koth Sports Physical Therapy, Pa NPI is 1265524045, taxonomy code is 225100000X Koth Sports Physical Therapy, Pa physically located at 101 Saddle Road, Ketchum ID, 83340-1510. NPI Number 1033115704 has the healthcare provider type.

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1265524045 NPI number is provided on an as is basis without warranty of any kind. 1265524045 is maintained by the National Plan & Provider Enumeration System. The contents of Koth Sports Physical Therapy, Pa are for informational purposes only.