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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISON MCKENZI DE LOERA

Active

Physical Medicine & Rehabilitation · IDAHO FALLS, ID

Registration Details

NPI Number
1740827385
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2019 (6.4264256821478 yrs)
Last Updated
Dec 2, 2019
License
PTA-6160 (ID)

Practice Information

Address
720 S WOODRUFF AVE
IDAHO FALLS, ID, 834015285
Browse ID providers · Browse ZIP 83401
Phone
2085525025
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in IDAHO FALLS, ID

Name Credential NPI
DR. SARAH VLACH MD 1326002221
DR. DAVID CHARLES SIMON M.D. 1518908581
TYLER HEDIN M.D. 1497012637
TROY JAY BUSHMAN D.O. 1194068437
DR. ANDREW D COOPER D.O 1093154023
DR. BRYAN BAKER D.O. 1194258764
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.