OrganizationActive
Idaho Falls Physical Medicine & Rehabilitation
NPI 1508086018 · Physical Medicine & Rehabilitation Physician · Idaho Falls, ID
Provider details
- NPI number
- 1508086018
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Simon, President(208) 535-4420
- License
- M6825 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2860 Channing Way
Suite 213
Idaho Falls, ID 83404-7531
Phone: (208) 535-4420
Fax: (208) 535-4427
Approximate (ZIP-level) locationGet directions
Mailing address
2860 Channing Way
Idaho Falls, ID 83404-7531
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.