Organization
ROCKY MOUNTAIN ORTHOPEDIC AND REGENERATIVE MEDICINE LLC
Active
Other names
Sensor Medica USA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENDON HOWARD (CEO)
(208) 425-6020
Entity
Organization
Contact information
Practice address
919 S UTAH AVE, IDAHO FALLS, ID 83402-3322
(208) 561-2286
Mailing address
919 S UTAH AVE, IDAHO FALLS, ID 83402-3322
(208) 561-2286
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
213E00000X
Podiatrist
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/23/2020
Last updated
02/09/2022
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