NPI 1407454796

Natalie M Theriault, LAC

Practitioner Acupuncturist Idaho Falls, ID

Practice location

Address: 864 S Holmes, Idaho Falls, ID 83401
Phone: (208) 521-1616
Mailing address: 2031 Duchess CT, Idaho Falls, ID 83401-2242

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence ACU-403 (ID)

Other Acupuncturist providers in Idaho →

Registry record

NPI: 1407454796
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2020
Record last updated: 9 Oct 2020

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.