NPI 1093512402
Melissa Ann McConnell
Practice location
- Address
- 570 Lyn Ave, Idaho Falls, ID 83401-3830
- Phone
- (208) 520-2574
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1093512402
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Feb 2025
- Record last updated
- 25 Feb 2025
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.