Health Atlast Pocatello LLC

NPI #1235789249 in Pocatello, Idaho

Provider Information

NPI Number: 1235789249
Entity Type: Organization
Organization Name: Health Atlast Pocatello LLC
Primary Specialty: Physical Medicine & Rehabilitation
Enumeration Date: Sep 12, 2019
Last Updated: Sep 12, 2019

Practice Location

Address: 1800 FLANDRO DR STE 110
City: Pocatello
State: Idaho
ZIP Code: 83202-4936
Phone: (208) 242-3723

Authorized Official

Name: DR. SHALOAM AGALELEI OFISA, D.C., M.S.
Title: OWNER
Phone: (208) 242-3723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X
Acupuncturist	171100000X
General Practice	208D00000X
Physical Medicine & Rehabilitation	208100000X	Primary

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