OrganizationActive
Idaho Physical Medicine and Rehabilitation PA
NPI 1497711329 · Physical Medicine & Rehabilitation Physician · Meridian, ID
Provider details
- NPI number
- 1497711329
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tiffany Mecham, Administrator
Practice location
3551 E. Overland Rd.
Meridian, ID 83642
Phone: (208) 884-1333
Fax: (208) 489-4015
Mailing address
Po Box 1128
Boise, ID 83701
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.