| NPI | 1265132427 |
|---|---|
| Doing Business As | KRYSTAL REYES LLC |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL REYES Physical Therapist/Owner 208-757-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-05-22 |