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

CLIFFORD L KIRACOFE PT PA

Active Organization

CLIFFORD L KIRACOFE PT PA is a Physical Therapy Assistant organization located in HAYDEN, Idaho. NPI 1962424952 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HAYDEN, ID

Registration Details

NPI Number
1962424952
Provider Type
Organization
NPI Issued
Jul 25, 2006 (20.010543665047 yrs)
Last Updated
Jun 12, 2008
Licenses
1620 (MT)
PT1579 (ID)

Practice Information

Address
8836 N HESS ST
STE C
HAYDEN, ID, 838358718
Browse ID providers · Browse ZIP 83835
Phone
2087726991
Fax
2087726674
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Organizations in HAYDEN, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.