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Organization
TRITON WELLNESS SOLUTIONS & SOFTWAVE THERAPY
Active
Organization
TRITON WELLNESS SOLUTIONS & SOFTWAVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BRADLEY SCHAFFER FNP (OWNER)
(208) 850-9125
Entity
Organization
Contact information
Practice address
210 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202-4916
(208) 252-5566
Mailing address
210 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202-4916
(208) 252-5566
(208) 213-1122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
11/02/2023
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