BRENDA KAY JERALD

PONDERAY, ID
NPI1679853501
Former NameBRENDA KAY MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2889)
Enumeration Date2011-08-23
Last Update Date2026-05-04
Business Address
BRENDA KAY JERALD DPT
30544 HIGHWAY 200 STE 326
PONDERAY, ID 83852-5042
Phone number: 208-205-9559
Mailing Address
BRENDA KAY JERALD DPT
1917 N LAKEWOOD DR
COEUR D ALENE, ID 83814-2634
Phone number:
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