TARA LODI

Physical Therapist

Active Individual
NPI: 1164901294

Practice Address

601 W CAMERON AVE
Kellogg, ID 83837

Phone: (208) 784-1625

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes PT-2709 (ID)

Frequently Asked Questions

NPI 1164901294 is the National Provider Identifier for TARA LODI, a Physical Therapist provider located in Kellogg, ID. This NPI was enumerated on August 9, 2018.
TARA LODI practices at 601 W CAMERON AVE, Kellogg, ID 83837.

Quick Facts

NPI
1164901294
Type
Individual
Enumerated
Aug 9, 2018
Last Updated
Aug 9, 2018

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