Individual provider · Type 1 NPI
Ma'lady Jane Kynaston, PTA
Physical Therapy Assistant · Eagle, ID
Practice location
775 S Rivershore Ln Ste 220
Eagle, ID 83616-5783
Mailing address
2019 S Arcadia St
Boise, ID 83705-3335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA-4121 (ID) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
4 other providers at this address
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About NPI 1811720121
Ma'lady Jane Kynaston, PTA's National Provider Identifier is 1811720121, issued on Aug 22, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Eagle, ID. The record was last updated on Aug 25, 2024.