Eartherapy

Specialty details in registry · Idaho Falls, ID

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At a glance

354 W Sunnyside Rd, Idaho Falls, ID 83402-4644

NPPES record updated Sep 16, 2010. Public records can lag behind changes at a practice.

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Practice location

354 W Sunnyside Rd Suite D
Idaho Falls, ID 83402-4644

Professional details: NPI, taxonomy & registry record

NPI1154639714

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0855X
Enumeration date: Sep 16, 2010
Record updated: Sep 16, 2010

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0855X · Primary

License reported: LCPC-3187 ID

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

Practice location

354 W Sunnyside Rd
Suite D
Idaho Falls, ID 83402-4644

Phone: (208) 528-6853
Fax: (208) 528-6888

Mailing address

354 W SUNNYSIDE RD
SUITE D
IDAHO FALLS, ID 834024644

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

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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