MRS. Carly Kay Powell

NPI #1073974515 in Idaho Falls, Idaho

Provider Information

NPI Number: 1073974515
Entity Type: Individual
Name: MRS. Carly Kay Powell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 150 SHOUP AVENUE
City: Idaho Falls
State: Idaho
ZIP Code: 83402
Phone: (208) 201-3978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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