| NPI | 1669132353 |
|---|---|
| Doing Business As | KESTREL THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | RONALD MILLER JR. Member 208-340-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-22 |