NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174629976 |   |   |   | PORTNEUF VALLEY FAMILY CENTER | PO BOX 4908 | POCATELLO | ID | 832054908 |
1396374146 |   |   |   | FORZA PHYSICAL THERAPY PLLC | 605 TAYLOR LN | CHUBBUCK | ID | 832025169 |
1124196340 | NORTHRUP | DERRICK |   |   | 605 TAYLOR LN | CHUBBUCK | ID | 832025169 |