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Crista Jardine, PTA
NPI 1215270053 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2499 Fieldstone Dr
Ammon, ID 83401 - Phone
- (208) 681-6677
- Fax
- (208) 209-8574
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-03-29
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