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

MA'LADY JANE KYNASTON, PTA

Active

MA'LADY JANE KYNASTON, PTA is a Occupational Therapist healthcare provider located in EAGLE, Idaho. NPI 1811720121 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · EAGLE, ID

Registration Details

NPI Number
1811720121
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2024 (2.0041020308368 yrs)
Last Updated
Aug 25, 2024
License
PTA-4121 (ID)

Practice Information

Address
775 S RIVERSHORE LN STE 220
EAGLE, ID, 836165783
Browse ID providers · Browse ZIP 83616
Phone
2086291030
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in EAGLE, ID

Name Credential NPI
MR. JAMES MICHAEL PEASE PTA 1346584810
PATRICIA OLEARY PTA 1033664974
NATHAN SPENCER PT 1063106433
NATASHA DAVEY 1427897362
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.