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

Ma'Lady Jane Kynaston, PTA

Individual provider Physical Therapy Assistant · NPI 1811720121

Ma'Lady Jane Kynaston, PTA is a Physical Therapy Assistant in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

775 S Rivershore Ln Ste 220
Eagle, ID 83616-5783
Phone: (208) 629-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-4121 (ID)

Record details

NPI number1811720121
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 25, 2024
Certification dateAugust 25, 2024
Mailing address2019 S Arcadia St, Boise, ID 83705-3335

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