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

Ridgeline Medical LLC

Organization Chiropractor · NPI 1386110963

Ridgeline Medical LLC is a Chiropractor in Idaho Falls, Idaho. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2470 Jafer Ct
Idaho Falls, ID 83404-5587
Phone: (208) 715-9990
Fax: (208) 715-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Chiropractor Taxonomy 111N00000X
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1386110963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Mangan — Owner · (208) 715-9990
Other names Ridgeline Medical Llc
NPI enumeratedOctober 22, 2018
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address2429 Jafer Ct, Idaho Falls, ID 83404-5587

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