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

Kiley Johnson

Individual provider Developmental Therapist · NPI 1932064110

Kiley Johnson is a Developmental Therapist in Kooskia, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

170 Red Fir Rd
Kooskia, ID 83539-5131
Phone: (208) 791-9582
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (ID)

Record details

NPI number1932064110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address170 Red Fir Rd, Kooskia, ID 83539-5131