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

Seniorlife Therapy Clinic, Inc

Organization Registered Dietitian · NPI 1952543803

Seniorlife Therapy Clinic, Inc is a Registered Dietitian in Boise, Idaho. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4987 S Wildbrook Way
Boise, ID 83709-5279
Phone: (208) 841-7457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1952543803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Gragert — Director · (208) 841-7457
NPI enumeratedMarch 24, 2009
Last updated in NPPESMarch 24, 2009
Mailing address4987 S Wildbrook Way, Boise, ID 83709-5279

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