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

Valley Vista Therapy Services

Organization Occupational Medicine Physician · NPI 1073718391

Valley Vista Therapy Services is an Occupational Medicine Physician in St Maries, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
4

Practice location Address checks out

820 Elm St
St Maries, ID 83861-2119
Phone: (208) 245-4576
Fax: (208) 245-5909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-1123 (ID)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence OT-510 (ID)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence OT-061 (ID)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT-160 (ID)

Record details

NPI number1073718391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Kennelly — Corporate Compliance Manager · (208) 245-4576
NPI enumeratedJune 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address820 Elm St, St Maries, ID 83861-2119