IndividualActive
Timothy Mavy
NPI 1275940108 · Hearing Instrument Specialist · Boise, ID
Provider details
- NPI number
- 1275940108
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- HA-3643 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
5513 N Glenwood St
Boise, ID 83714-1334
Phone: (208) 375-6600
Fax: (208) 375-7558
Approximate (ZIP-level) locationGet directions
Mailing address
5513 N Glenwood St
Boise, ID 83714-1334
Registry dates
- Enumerated
- 2014-07-11
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.