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NPI 1104065093

OrganizationActive

Neville Spinal Balance PLLC

NPI 1104065093 · Clinic/Center · Idaho Falls, ID

Provider details

NPI number: 1104065093
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Trever Neville, Owner
License: CHIA-1331 (ID)

Practice location

2145 West Broadway Street

Idaho Falls, ID 83402-2904

Phone: (208) 522-3130

More ID providers

Mailing address

2145 West Broadway Street

Idaho Falls, ID 83402-2904

Registry dates

Enumerated: 2009-02-17
Last updated: 2020-06-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Neville Spinal Balance PLLC — NPI 1104065093, Idaho Falls, ID | NPI Central