Organization · Type 2 NPI

Eastern Idaho Spine Center

Rehabilitation Practitioner · Idaho Falls, ID

NPI number 1154593705 Active

Practice location

2860 Channing Way, Ste 112
Idaho Falls, ID 83404-7531

Fax (208) 535-4344

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1154593705

Eastern Idaho Spine Center's National Provider Identifier is 1154593705, issued on Mar 24, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 6, 2008.