MR. KEVIN STANFORTH, PT

Physical Therapist

Active Individual
NPI: 1760677306

Practice Address

374 12TH ST
Idaho Falls, ID 83404

Phone: (208) 201-0432

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 1846 (ID)

Frequently Asked Questions

NPI 1760677306 is the National Provider Identifier for MR. KEVIN STANFORTH, PT, a Physical Therapist provider located in Idaho Falls, ID. This NPI was enumerated on September 6, 2007.
MR. KEVIN STANFORTH, PT practices at 374 12TH ST, Idaho Falls, ID 83404.

Quick Facts

NPI
1760677306
Type
Individual
Enumerated
Sep 6, 2007
Last Updated
Sep 6, 2007

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