Graduated: 1995
NPI: 1306169602
Practice Locations (2)
REHABAUTHORITY LLC
720 S WOODRUFF AVE
IDAHO FALLS, ID 834015285
2085525025
REHABAUTHORITY LLC
825 W DEER FLAT RD, SUITE 100
KUNA, ID 836341266
2082680104
Source: CMS National Downloadable File, September 2026.