KEVIN CHARLES STANFORTH

IDAHO FALLS, ID
NPI1760677306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  1846)
Enumeration Date2007-09-06
Last Update Date2007-09-06
Business Address
Mr. KEVIN CHARLES STANFORTH PT
374 12TH ST
IDAHO FALLS, ID 83404-5369
Phone number: 208-201-0432
Mailing Address
Mr. KEVIN CHARLES STANFORTH PT
374 12TH ST
IDAHO FALLS, ID 83404-5369
Phone number: 208-201-0432
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