Search › Idaho › 225100000X
Kevin Stanforth, PT
NPI 1760677306 · on the registry since 2007 · sole proprietor
Practice
- Address
- 374 12th St
Idaho Falls, ID 83404 - Phone
- (208) 201-0432
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-06
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