License holder summary

KACEY SHIZUKA FAIRFIELD is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for KACEY SHIZUKA FAIRFIELD is KETCHUM ID 83340. This licensed professional license is current. The license was granted 06/17/2002 and expired on 12/19/2016.

Idaho

Division of Occupational and Professional Licenses

KACEY SHIZUKA FAIRFIELD
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1708
Date granted
06/17/2002
Date expires
12/19/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
KETCHUM ID 83340
idaholicensing.com
ID 43731157
LAST UPDATED 2024-03-17 02:40:46 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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