Idaho
Division of Occupational and Professional Licenses
KATHERINE GRACE YOUNGBLOOD
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3193
Date granted
05/22/2013
Date expires
03/18/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734842
LAST UPDATED 2026-05-03 04:11:44 UTC
LAST UPDATED 2026-05-03 04:11:44 UTC
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