Physical Therapist
KELLY JOHN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790322436 · enumerated 2019-12-02 · record updated 2025-12-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 850 W IRONWOOD DR STE 202, COEUR D ALENE, ID, 83814-4903 (208) 664-2175 Fax (208) 664-1226 Google Maps Apple Maps OpenStreetMap
- Practice location 8468 N WAYNE DR, HAYDEN, ID, 83835-6025 (208) 601-6060 Fax (208) 635-5098 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
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Practice location
HAYDEN, ID, 838356025
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.