Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMMA STAYDUHAR
Active Sole ProprietorPhysical Medicine & Rehabilitation · KELLOGG, ID
Registration Details
- NPI Number
- 1164903076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2018 (7.6895304368834 yrs)
- Last Updated
- Aug 28, 2018
- License
-
PT3839 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 JACOBS GULCH RDKELLOGG, ID, 838372023Browse ID providers · Browse ZIP 83837
- Phone
- 2087844603
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
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.