Individual provider · Type 1 NPI
Kiley Johnson
Developmental Therapist · Kooskia, ID
Practice location
170 Red Fir Rd
Kooskia, ID 83539-5131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1932064110
Kiley Johnson's National Provider Identifier is 1932064110, issued on Dec 18, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Kooskia, ID. The record was last updated on Dec 18, 2025.