Graduated: 2002
NPI: 1295855112
Practice Locations (3)
3715 WOODKING DR
Idaho Falls, ID 834044720
3715 WOODKING DR
IDAHO FALLS, ID 834044720
FOOTHILLS REHABILITATION AND PERFORMANCE SERVICES PLLC
3715 WOODKING DR
IDAHO FALLS, ID 834044720
2085292255
Source: CMS National Downloadable File, September 2026.