Organization
SAINT ALPHONSUS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization
Contact information
Practice address
875 E PLAZA DR, #105, EAGLE, ID 83616
(208) 367-6934
(208) 367-2674
Mailing address
901 N CURTIS RD, #204, BOISE, ID 83706-1338
(208) 367-6934
(208) 367-2674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2
ID
111NR0400X
Rehabilitation Chiropractor
2
ID
225100000X
Physical Therapist
Primary
2
ID
225800000X
Recreation Therapist
2
ID
225X00000X
Occupational Therapist
2
ID
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
2
ID
235Z00000X
Speech-Language Pathologist
2
ID
Other
Enumeration date
04/25/2007
Last updated
06/16/2025
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