IndividualActive
Dottie Peck, REEGT, CNIM
NPI 1346304409 · Electroneurodiagnostic Specialist/Technologist · Idaho Falls, ID
Provider details
- NPI number
- 1346304409
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- REEGT, CNIM
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1361 Cambridge Dr
Idaho Falls, ID 83401-4208
Phone: (208) 528-7566
Fax: (208) 523-9224
Mailing address
Po Box 3211
Idaho Falls, ID 83403-3211
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2013-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.