Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KETHA MEAD
ActiveKETHA MEAD is a Developmental Therapist healthcare provider located in MOSCOW, Idaho. NPI 1073973301 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MOSCOW, ID
Registration Details
- NPI Number
- 1073973301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2016 (10.465954705314 yrs)
- Last Updated
- Feb 29, 2016
Practice Information
- Address
-
1350 TROY RDSUITE 2MOSCOW, ID, 838433995Browse ID providers · Browse ZIP 83843
- Phone
- 2088826912
- Fax
- 2088828575
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| JENNIFER DEDIOS-COILE | — | 1467238576 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.