Organization
HGNS INVESTMENTS
Active
Other names
Intermountain Therapeutic Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTINE HENDRICKS (MANAGER AUTHORIZED OFFICIAL)
(208) 522-6433
Entity
Organization
Contact information
Practice address
859 S YELLOWSTONE HWY, SUITE 101, REXBURG, ID 83440-5293
(208) 522-6433
(208) 522-8443
Mailing address
859 S YELLOWSTONE HWY, SUITE 101, REXBURG, ID 83440-5293
(208) 522-6433
(208) 522-8443
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
03/22/2012
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