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Kathryn Wallentine, PTA
NPI 1407191471 · on the registry since 2012
Practice
- Address
- 860 W Sherwood St
Apt 150
Boise, ID 83706 - Phone
- (208) 585-4133
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho