Foothills Rehabilitation & Performance Services

NPI 1831211093 - Clinic/Center - 261QP2000X

NPI Details
NPI 1831211093
Enumeration Date 04/06/2007
Last Updated 06/02/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRENT SHELDON BRENT
Position OWNER
Phone (208) 529-3562
Fax (208) 529-4064
Practice Location
3814 WASHINGTON PKWY
IDAHO FALLS ID, 83404-7591, US
Phone (208) 529-3562
Fax (208) 529-4064
Business Location
3814 WASHINGTON PKWY
IDAHO FALLS ID, 83404-7591, US
Phone (208) 529-3562
Fax (208) 529-4064
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Foothills Rehabilitation & Performance Services NPI is 1831211093, taxonomy code is 261QP2000X Foothills Rehabilitation & Performance Services physically located at 3814 Washington Pkwy, Idaho Falls ID, 83404-7591. NPI Number 1033115704 has the healthcare provider type.

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1831211093 NPI number is provided on an as is basis without warranty of any kind. 1831211093 is maintained by the National Plan & Provider Enumeration System. The contents of Foothills Rehabilitation & Performance Services are for informational purposes only.