OrganizationActive
Human Dynamics and Diagnostics, LLC
NPI 1326345976 · Developmental Disabilities Clinic/Center · Salmon, ID
Provider details
- NPI number
- 1326345976
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mellissa Ockerman, Office Manager(208) 522-0140
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
111 Lillian St Ste 204
Salmon, ID 83467-4301
Phone: (208) 756-2344
Fax: (208) 756-2354
Approximate (ZIP-level) locationGet directions
Mailing address
2267 Teton Plz
Idaho Falls, ID 83404-6486
Registry dates
- Enumerated
- 2011-02-17
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.