# SNAKE RIVER WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Snake River Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649156142
- **Authorized official:** CARIN M HOWARD PA-C (OWNER)
- **Authorized official phone:** (208) 366-1200

## Contact information

- **Practice address:** 94 N COMMERCIAL ST, GLENNS FERRY, ID 83623-2342
- **Practice address phone:** (208) 366-1200
- **Mailing address:** PO BOX 102, GLENNS FERRY, ID 83623-0102
- **Mailing address phone:** (208) 366-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 08/20/2025