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Kenneth Mcmanus, LMT
NPI 1659872208 · on the registry since 2018
Practice
- Address
- 5909 W State St
Boise, ID 83703 - Phone
- (208) 343-7700
- Fax
- (208) 331-2591
- Organisation at this address
- Physical Therapy 180 Llc
Peregrine Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 3919 E Overland Rd, Meridian, ID
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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