BREANNA L KUMP

IDAHO FALLS, ID
NPI1982976767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-288)
Enumeration Date2012-02-08
Last Update Date2012-02-08
Business Address
Mrs. BREANNA L KUMP PTA-288
993 GRASSLAND DR
IDAHO FALLS, ID 83404-8350
Phone number: 208-406-1129
Mailing Address
Mrs. BREANNA L KUMP PTA-288
993 GRASSLAND DR
IDAHO FALLS, ID 83404-8350
Phone number: