Individual
ALISHA D STATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 N LIVINGSTON AVE, IDAHO FALLS, ID 83401-1666
(307) 203-9028
Mailing address
4121 N LIVINGSTON AVE, IDAHO FALLS, ID 83401-1666
(307) 203-9028
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
09/29/2025
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