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

Katrina Shibambo

Individual provider Physical Therapist · NPI 1710594478

Katrina Shibambo is a Physical Therapist in Boise, Idaho. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

960 S Broadway Ave
Boise, ID 83706-3600
Phone: (208) 433-9211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1710594478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736

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