Ketamine Infusions of Idaho
Ketamine Infusions of Idaho is an Infusion Therapy Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1582 Elk Creek DrIdaho Falls, ID 83404-8322
Phone: (208) 607-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infusion Therapy Clinic/Center (primary) | Taxonomy 261QI0500X |
|---|
Record details
| NPI number | 1730769142 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christina Stubbs — Owner · (208) 607-8401 |
| NPI enumerated | April 9, 2021 |
| Last updated in NPPES | April 9, 2021 |
| Certification date | April 9, 2021 |
| Mailing address | Po Box 3646, Idaho Falls, ID 83403-3646 |