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Contact Information

KATHRYN L BROCK
449 S FITNESS PL
EAGLE, ID83616-6828
 Phone: 208-957-6301
 Fax: 208-228-0585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KATHRYN L BROCK · (Female)

NPI # 1982534764
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2026
Last updated 05/21/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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