NPI 1902754203
Therady LLC
Practice location
- Address
- 1489 Midway Ave, Ammon, ID 83406
- Phone
- (208) 904-3311
- Mailing address
- PO Box 235, Pocatello, ID 83204-0235
Authorised official
- Name
- David Vanorden
- Title
- President
- Phone
- (208) 904-3311
Registered specialties (5)
Physical Therapist
Primary
Occupational Therapy Assistant
Physical Therapy Assistant
Occupational Therapist
Speech-Language Pathologist
Registry record
- NPI
- 1902754203
- Entity type
- Organization
- NPI issued
- 20 Mar 2026
- Record last updated
- 30 Jul 2026
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.