NPI 1063829836
Foothills Rehabilitation & Performance Services, PLLC
Practice location
- Address
- 3715 Woodking Dr, Idaho Falls, ID 83404-4720
- Phone
- (208) 529-2255
- Fax
- (208) 529-2022
Authorised official
- Name
- Brent Kennedy
- Title
- Owner/Manager
- Phone
- (208) 529-2255
Registered specialties (3)
Physical Therapist
Primary
Occupational Therapist
Speech-Language Pathologist
Registry record
- NPI
- 1063829836
- Entity type
- Organization
- NPI issued
- 14 Jul 2014
- Record last updated
- 5 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.