EMMA STAYDUHAR

Physical Medicine & Rehabilitation

Active Individual
NPI: 1164903076

Practice Address

25 JACOBS GULCH RD
Kellogg, ID 83837

Phone: (208) 784-4603

Specialties

Specialty Code Primary License
Physical Medicine & Rehabilitation 208100000X Yes PT3839 (ID)

Frequently Asked Questions

NPI 1164903076 is the National Provider Identifier for EMMA STAYDUHAR, a Physical Medicine & Rehabilitation provider located in Kellogg, ID. This NPI was enumerated on August 28, 2018.
EMMA STAYDUHAR practices at 25 JACOBS GULCH RD, Kellogg, ID 83837.

Quick Facts

NPI
1164903076
Type
Individual
Enumerated
Aug 28, 2018
Last Updated
Aug 28, 2018

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