NPI 1073974515
Carly Kay Powell
Practice location
- Address
- 150 Shoup Avenue, Idaho Falls, ID 83402
- Phone
- (208) 201-3978
- Mailing address
- 150 Shoup Ave, Idaho Falls, ID 83402-3657
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1073974515
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Mar 2016
- Record last updated
- 11 Mar 2016
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.