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

Prestige Ketamine PC

Organization Infusion Therapy Clinic/Center · NPI 1588353999

Prestige Ketamine PC is an Infusion Therapy Clinic/Center in Rigby, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3749 E 343 N
Rigby, ID 83442-5326
Phone: (208) 705-9800
Show map & directions

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 number1588353999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Levi Hansen — Ceo · (208) 705-9800
NPI enumeratedMay 2, 2023
Last updated in NPPESMay 2, 2023
Certification dateMarch 15, 2023
Mailing address3749 E 343 N, Rigby, ID 83442-5326