Ketha Mead
Ketha Mead is a Developmental Therapist in Moscow, Idaho. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
1350 Troy Rd Ste 2Moscow, ID 83843-3995
Phone: (208) 882-6912
Fax: (208) 882-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1073973301 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 29, 2016 |
| Last updated in NPPES | February 29, 2016 |
| Mailing address | 1350 Troy Rd, Suite 2, Moscow, ID 83843-3995 |
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