MEDICARE: MS. KATHY GAMMON RPT,P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	PT560	ID

General Provider Information

NPI Number	:	1285858092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHY GAMMON RPT,P.A.

Provider Business Mailing Address
First Line	:	555 W 25TH ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83402-4527
Country	:	US
Telephone Number	:	208-524-1550
Fax Number	:	208-523-3148

Provider Business Practice Location Address
First Line	:	555 W 25TH ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83402-4527
Country	:	US
Telephone Number	:	208-524-1550
Fax Number	:	208-523-3148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1104948322 — DEVELOPMENT WORKSHOP, INC.
Practice Location Address:

555 W 25TH ST
IDAHO FALLS, ID
83402-4527

Practice Phone: 208-524-1550
Practice Fax: 208-523-3148

1316343536 — KATIE M BLOOM LCSW-PIP
Practice Location Address:

1710 W 18TH ST
SIOUX FALLS, SD
57104-4527

Practice Phone: 605-338-3639
Practice Fax:

1699238774 — CHERISH HOME HEALTH CARE,LLC
Practice Location Address:

201 PARK WASHINGTON CT STE 100
FALLS CHURCH, VA
22046-4527

Practice Phone: 571-243-7667
Practice Fax: 703-995-4724

1952033516 — CONCORD HOME HEALTHCARE, LLC
Practice Location Address:

201 PARK WASHINGTON CT STE 100
FALLS CHURCH, VA
22046-4527

Practice Phone: 703-364-9026
Practice Fax: 571-449-6982

1093664302 — KARRIANN JOHNSON REISS LPC, NCC
Practice Location Address:

1009 ERNEST DR
IDAHO FALLS, ID
83402-1288

Practice Phone: 208-317-5463
Practice Fax:

Directions to “ MS. KATHY GAMMON RPT,P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.