Organization · Type 2 NPI
Ketamine Infusions of Idaho
Infusion Therapy Clinic/Center · Idaho Falls, ID
NPI number
1730769142
Active
Practice location
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Mailing address
PO Box 3646
Idaho Falls, ID 83403-3646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
5 other providers at this address
- Altitude Sport & Spine PLLCSports Medicine (Family Medicine) Physician Idaho Falls, ID NPI 1992663595
- Snake River Hearing and Balance LLCAudiologist-Hearing Aid Fitter Idaho Falls, ID NPI 1053187294
- Benjamin Leishman, DOFamily Medicine Physician Idaho Falls, ID NPI 1063862977
- Craig Allred, AUDAudiologist Idaho Falls, ID NPI 1184076465
- Joshua Sirucek, DOFamily Medicine Physician Idaho Falls, ID NPI 1487066643
About NPI 1730769142
Ketamine Infusions of Idaho's National Provider Identifier is 1730769142, issued on Apr 9, 2021. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 9, 2021.