NPI 1578295069
Eq Therapy for Kids, LLC
Practice location
- Address
- 707 F St, Rupert, ID 83350-1638
- Phone
- (208) 794-8139
- Mailing address
- 523 S Maple St, Rupert, ID 83350-2168
Authorised official
- Name
- Terra J Haynes
- Title
- Owner
- Phone
- (208) 794-8139
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1578295069
- Entity type
- Organization
- NPI issued
- 24 Jun 2022
- Record last updated
- 24 Jun 2022
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.