NPI 1164398145

Anthony W Heath, BA

Practitioner Rehabilitation Practitioner Pocatello, ID

Practice location

Address: 611 Wilson Ave STE 5, Pocatello, ID 83201-5046
Phone: (208) 915-8448
Fax: (208) 240-9257
Mailing address: 5130 Dorian St, Chubbuck, ID 83202-2918

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in Idaho →

Registry record

NPI: 1164398145
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2025
Record last updated: 15 Oct 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.