Karen Lee Cole, PT
Individual provider Active NPI Specialist · Boise, ID
NPI 1679770218 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679770218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1059 (ID)
- Practice address
- 808 N Curtis Rd
Boise, ID 83706-1306 - Phone
- (208) 376-5273
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059 | ID | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1059 | ID | Yes |
Addresses
Primary practice location
808 N Curtis Rd
Boise, ID 83706-1306
Mailing address
1169 N Torrey Pines Ave
Eagle, ID 83616-5371
Phone (208) 939-8328
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.