Graduated: 2014
NPI: 1760884266
Practice Locations (2)
MOUNTAIN LAND REHABILITATION LLC
128 VISTA DR
POCATELLO, ID 832015824
2082332248
MOUNTAIN LAND REHABILITATION LLC
1950 E FORT UNION BLVD, SUITE 2
SALT LAKE CITY, UT 841216894
8019431041
Source: CMS National Downloadable File, September 2026.