Search › Idaho › 2085R0202X
Katie Clegg, RTR
NPI 1518597285 · on the registry since 2020 · sole proprietor
Practice
- Address
- 593 W 24th St
Burley, ID 83318 - Phone
- (541) 690-4925
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 106S00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-22
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