NPI 1225180110

Western Center for Rehabilitation

Organisation Rehabilitation Practitioner Idaho Falls, ID

Practice location

Address: 2860 Channing Way 114, Idaho Falls, ID 83404-7531
Phone: (208) 535-4343
Fax: (208) 535-4344

Authorised official

Name: Shane Christian Mangrum
Title: Owner
Phone: (208) 535-4343

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence M9189 (ID)

Other Rehabilitation Practitioner providers in Idaho →

Registry record

NPI: 1225180110
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 15 Nov 2007

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.