SearchIdaho225100000X

Kimberly Mazzella, P.T

NPI 1730110982 · on the registry since 2006

Practice

Address
875 S Vanguard Way Ste 110
Meridian, ID 83642
Phone
(208) 960-0932
Fax
(208) 960-0935
Organisation at this address
Urology Clinic
A Dynamics Of Idaho Pc
Jonathon C Wolf Md Pllc
Sparrow Speech Studio, Llc
Boise Endoscopy Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-26

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