IndividualActive
Carly Powell
NPI 1073974515 · Developmental Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1073974515
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
150 Shoup Avenue
Idaho Falls, ID 83402
Phone: (208) 201-3978
Approximate (ZIP-level) locationGet directions
Mailing address
150 Shoup Ave
Idaho Falls, ID 83402-3657
Registry dates
- Enumerated
- 2016-03-11
- Last updated
- 2016-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.