Wallentine, Kathryn Lynette

Wallentine, Kathryn Lynette is an individual health care provider with primary practice located at 860 W Sherwood St Apt 150, Boise ID 83706-2883. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wallentine, Kathryn Lynette can be contacted via phone (208) 585-4133.

Contact Information

Primary practice address
860 W Sherwood St Apt 150 Boise ID 83706-2883
Phone: (208) 585-4133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-2882 Idaho

Profile Details

NPI number 1407191471
LBN Legal business name Wallentine, Kathryn Lynette
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated Dec 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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