Eastern Idaho Spine Center
Eastern Idaho Spine Center is a Rehabilitation Practitioner in Idaho Falls, Idaho. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2860 Channing Way Ste 112Idaho Falls, ID 83404-7531
Phone: (208) 535-4343
Fax: (208) 535-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1154593705 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Mangrum — Owner · (208) 535-4343 |
| NPI enumerated | March 24, 2008 |
| Last updated in NPPES | June 6, 2008 |
| Mailing address | 2860 Channing Way, Ste 112, Idaho Falls, ID 83404-7531 |
Other providers in Idaho Falls
-
Katherine Ann Puckett, BS, SIT
540 3rd St, Idaho Falls, ID 83404 · (208) 524-5607
-
Western Center for Rehabilitation
2860 Channing Way 114, Idaho Falls, ID 83404-7531 · (208) 535-4343