IndividualActive
Anthony Heath, BA
NPI 1164398145 · Rehabilitation Practitioner · Pocatello, ID
Provider details
- NPI number
- 1164398145
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
611 Wilson Ave Ste 5
Pocatello, ID 83201-5046
Phone: (208) 915-8448
Fax: (208) 240-9257
Approximate (ZIP-level) locationGet directions
Mailing address
5130 Dorian St
Chubbuck, ID 83202-2918
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.