Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHRISTOPHER JOSEPH BANTA, BA PSYCHOLOGY
ActiveRehabilitation Psychologist · REXBURG, ID
Registration Details
- NPI Number
- 1164545877
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2007 (19.033201171151 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
218 DIVIDEND DR STE 3REXBURG, ID, 834403510Browse ID providers · Browse ZIP 83440
- Phone
- 2083599683
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.