SearchIdahoPhysical Therapy Assistant

Kendrick King Gunning, PTA

NPI 1669034823 · on the registry since 2019

Practice

Address
3330 E Louise Dr Ste 400
Meridian, ID 83642
Phone
(208) 706-2333
Organisation at this address
St Luke'S Regional Medical Center
St Luke'S Regional Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-08

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