institution
Eastern Idaho Spine Center
Rehabilitation Practitioner in Idaho Falls, Idaho
NPI 1154593705

Eastern Idaho Spine Center is a Rehabilitation Practitioner based in Idaho Falls, ID. Eastern Idaho Spine Center practices in Idaho Falls, ID. The NPI Number for Eastern Idaho Spine Center is 1154593705 and holds a License No. (Idaho).

The current practice location address for Eastern Idaho Spine Center is 2860 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-535-4343 and via fax at 208-535-4344.

Location: 2860 Channing Way, Idaho Falls, ID, 83404-7531
institution
Provider Profile Details
NPI Number
1154593705
Provider Name
Eastern Idaho Spine Center
Credential
Provider Entity Type
Organization
Address
2860 Channing Way, Idaho Falls, ID, 83404-7531
Phone Number
208-535-4343
Fax Number
208-535-4344
Provider Enumeration Date
03/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8079840 05 ID
institution
Provider Business Practice Location Address Details
Address
2860 Channing Way
City
State
Zip
83404-7531
Phone Number
208-535-4343
Fax Number
208-535-4344
person
Provider Business Mailing Address Details
Address
2860 Channing Way
City
State
Zip
83404-7531
Phone Number
208-535-4343
Fax Number
208-535-4344
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
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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