Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fall Creek Skin and Health PLLC

Organization Medical Physician Assistant · NPI 1629247093

Fall Creek Skin and Health PLLC is a Medical Physician Assistant in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

534 Trejo St Ste 400
Rexburg, ID 83440
Phone: (208) 359-2263
Fax: (208) 359-2042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-215 (ID)

Record details

NPI number1629247093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Bagley — Physician Assistant Certified · (208) 359-2263
NPI enumeratedFebruary 29, 2008
Last updated in NPPESJune 26, 2018
Mailing addressPo Box 378, Rexburg, ID 83440-0378

Other providers in Rexburg