Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRO ACTIVE ADVANTAGE, LLC
Active OrganizationPRO ACTIVE ADVANTAGE, LLC is a Rehabilitation Psychologist organization located in TWIN FALLS, Idaho. NPI 1427170133 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Psychologist · TWIN FALLS, ID
Registration Details
- NPI Number
- 1427170133
- Provider Type
- Organization
- NPI Issued
- Apr 4, 2007 (19.390819697201 yrs)
- Last Updated
- Sep 15, 2021
Practice Information
- Address
-
264 MAIN AVE STWIN FALLS, ID, 833016232Browse ID providers · Browse ZIP 83301
- Phone
- 2087724935
- Fax
- 2087343534
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.