BRENT SHELDON KENNEDY

IDAHO FALLS, ID
NPI1295855112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  RPT-1740)
Enumeration Date2007-04-02
Last Update Date2014-08-29
Business Address
-- BRENT SHELDON KENNEDY DPT
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
Mailing Address
-- BRENT SHELDON KENNEDY DPT
2335 PTARMIGAN WAY
AMMON, ID 83401-5850
Phone number: 208-552-5661
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