Ultreia Enlightened Transitions, Llc

Specialty details in registry · Boise, ID

Call (208) 571-9709 Directions

At a glance

6322 W Robertson Dr, Boise, ID 83709-2173

NPPES record updated Jun 22, 2021. Public records can lag behind changes at a practice.

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Practice location

6322 W Robertson Dr
Boise, ID 83709-2173

Professional details: NPI, taxonomy & registry record

NPI1134798341

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 104100000X
Enumeration date: Jun 22, 2021
Record updated: Jun 22, 2021

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

104100000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6322 W Robertson Dr
Boise, ID 83709-2173

Phone: (208) 571-9709

Mailing address

6322 W ROBERTSON DR

BOISE, ID 837092173

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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