Individual provider · Type 1 NPI

Kathy Gammon, RPT, P.A.

Specialist · Idaho Falls, ID

NPI number 1285858092 Active

Practice location

555 W 25th St
Idaho Falls, ID 83402-4527

Fax (208) 523-3148

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT560 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1285858092

Kathy Gammon, RPT, P.A.'s National Provider Identifier is 1285858092, issued on Apr 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 8, 2007.