KENDRA W ICKES

BOISE, ID
NPI1902533078
Former NameKENDRA WOMACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
KENDRA W ICKES
1520 W STATE ST STE 210
BOISE, ID 83702-4026
Phone number: 208-336-8433
Mailing Address
KENDRA W ICKES
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
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PHYSICAL THERAPY 180 LLC