Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clifford L Kiracofe PT PA

Organization Physical Therapist · NPI 1962424952

Clifford L Kiracofe PT PA is a Physical Therapist in Hayden, Idaho. Licensed in Idaho and Montana. Registered with an NPI since 2006.

Licensed in
ID, MT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8836 N Hess St Ste C
Hayden, ID 83835-8718
Phone: (208) 772-6991
Fax: (208) 772-6674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1579 (ID)
Physical Therapist Taxonomy 225100000X · Licence 1620 (MT)

Record details

NPI number1962424952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifford Kiracofe — Owner · (208) 772-6991
NPI enumeratedJuly 25, 2006
Last updated in NPPESJune 12, 2008
Mailing addressPo Box 293, Hayden, ID 83835-0293

Other providers in Hayden