IndividualActive
Ketha Mead
NPI 1073973301 · Developmental Therapist · Moscow, ID
Provider details
- NPI number
- 1073973301
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
1350 Troy Rd
Suite 2
Moscow, ID 83843-3995
Phone: (208) 882-6912
Fax: (208) 882-8575
Mailing address
1350 Troy Rd
Moscow, ID 83843-3995
Registry dates
- Enumerated
- 2016-02-29
- Last updated
- 2016-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.