OrganizationActive
Health Atlast Pocatello LLC
NPI 1235789249 · Physical Medicine & Rehabilitation Physician · Pocatello, ID
Provider details
- NPI number
- 1235789249
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaloam Ofisa, Owner(208) 242-3723
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Acupuncturist171100000X
Other Service Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Practice location
1800 Flandro Dr Ste 110
Pocatello, ID 83202-4936
Phone: (208) 242-3723
Fax: (208) 904-1052
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Flandro Dr Ste 110
Pocatello, ID 83202-4936
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2019-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.