Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Clifford L Kiracofe PT PA

Organization Physical Therapist · NPI 1962424952

Clifford L Kiracofe PT PA provides Physical Therapist services in Hayden, Idaho. Licensed in Idaho and Montana. Registered with an NPI since 2006.

Licensed in
ID, MT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8836 N Hess St Ste C
Hayden, ID 83835-8718 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 772-6991
Fax: (208) 772-6674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1579 (ID)
Physical Therapist Taxonomy 225100000X · Licence 1620 (MT)

Record details

NPI number1962424952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifford Kiracofe — Owner · (208) 772-6991
NPI enumeratedJuly 25, 2006
Last updated in NPPESJune 12, 2008
Mailing addressPo Box 293, Hayden, ID 83835-0293

Other providers in Hayden