NPI 1093496390
Dominic Douglas Tartini, MSIP
Practice location
- Address
- 5315 Crimson Ave, Caldwell, ID 83607-1731
- Phone
- (208) 813-4986
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1093496390
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jul 2023
- Record last updated
- 28 Jul 2023
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.