IndividualActive
Alisha Staten
NPI 1336956697 · Developmental Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1336956697
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4121 N Livingston Ave
Idaho Falls, ID 83401-1666
Phone: (307) 203-9028
Approximate (ZIP-level) locationGet directions
Mailing address
4121 N Livingston Ave
Idaho Falls, ID 83401-1666
Registry dates
- Enumerated
- 2024-12-11
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.