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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM C MARLEY

Active Sole Proprietor

KIM C MARLEY is a Occupational Therapist healthcare provider located in PONDERAY, Idaho. NPI 1487945770 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PONDERAY, ID

Registration Details

NPI Number
1487945770
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2011 (15.352968508633 yrs)
Last Updated
Apr 21, 2011
License
PTA-240 (ID)
Sole Proprietor
Yes

Practice Information

Address
476978 HWY 95
PONDERAY, ID, 838526978
Browse ID providers · Browse ZIP 83852
Phone
2082637577
Primary Specialty
Occupational Therapist
225200000X
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.