# TRITON WELLNESS SOLUTIONS & SOFTWAVE THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992408678
- **Authorized official:** SCOTT BRADLEY SCHAFFER FNP (OWNER)
- **Authorized official phone:** (208) 850-9125

## Contact information

- **Practice address:** 210 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202-4916
- **Practice address phone:** (208) 252-5566
- **Mailing address:** 210 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202-4916
- **Mailing address phone:** (208) 252-5566
- **Mailing address fax:** (208) 213-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2023
- **Last updated:** 11/02/2023