Snake River School District 52

Specialty details in registry · Blackfoot, ID

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At a glance

918 West Highway 39, Blackfoot, ID 83221-6065

NPPES record updated Sep 11, 2025. Public records can lag behind changes at a practice.

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Practice location

918 West Highway 39
Blackfoot, ID 83221-6065
Professional details: NPI, taxonomy & registry record
NPI1760602213
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
347B00000X
Enumeration date
Apr 26, 2007
Record updated
Sep 11, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TS0200X

Specialty details in registry

222Q00000X

Physical Therapist

225100000X

Specialty details in registry

225400000X

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X

Specialty details in registry

347B00000X · Primary

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

Practice location

918 West Highway 39
Blackfoot, ID 83221-6065
Phone
(208) 684-3018
Fax
(208) 684-3047
Mailing address
103 SOUTH 900 WEST

BLACKFOOT, ID 832216065
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Information may be outdated or incomplete.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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