Root & Renew Pro-Health Solutions

NPI #1699580274 in Blackfoot, Idaho

Provider Information

NPI Number
1699580274
Entity Type
Organization
Organization Name
Root & Renew Pro-Health Solutions
Primary Specialty
Occupational Therapist
Enumeration Date
Feb 11, 2025
Last Updated
Feb 11, 2025

Practice Location

Address
586 W 30 S
State
Idaho
ZIP Code
83221-6130
Phone
(208) 244-5122

Authorized Official

Name
JASON BALLS, OTR/L
Title
OWNER
Phone
(208) 244-5122

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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