Healthcare Provider Details

I. General information

NPI: 1861301715
Provider Name (Legal Business Name): KASSANDRA ROSE NEFF DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 E SCHNEIDMILLER AVE
POST FALLS ID
83854-7065
US

IV. Provider business mailing address

1917 N LAKEWOOD DR
COEUR D ALENE ID
83814-2634
US

V. Phone/Fax

Practice location:
  • Phone: 208-773-8111
  • Fax: 208-773-8385
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4981924
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: