BRANDON PHOENIX KALLGREN

IDAHO FALLS, ID
NPI1265317341
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  5171576)
Enumeration Date2025-08-08
Last Update Date2025-08-08
Business Address
BRANDON PHOENIX KALLGREN DPT
3155 CHANNING WAY STE D
IDAHO FALLS, ID 83404-7875
Phone number: 208-973-4170
Mailing Address
BRANDON PHOENIX KALLGREN DPT
198 WHITTIER ST
IDAHO FALLS, ID 83402-2207
Phone number: 208-360-6955
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