IndividualActive
Kiley Johnson
NPI 1932064110 · Developmental Therapist · Kooskia, ID
Provider details
- NPI number
- 1932064110
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
170 Red Fir Rd
Kooskia, ID 83539-5131
Registry dates
- Enumerated
- 2025-12-18
- Last updated
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.