Idaho
Division of Occupational and Professional Licenses
KATIE LYNN CAMMACK
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2805
Date granted
02/25/2011
Date expires
12/05/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
HYDE PARK UT 84318
idaholicensing.com
ID 43733860
LAST UPDATED 2026-06-03 22:05:31 UTC
LAST UPDATED 2026-06-03 22:05:31 UTC
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