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Organization

ROOT & RENEW PRO-HEALTH SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON BALLS OTR/L (OWNER)
(208) 244-5122
Entity
Organization

Contact information

Practice address
586 W 30 S, BLACKFOOT, ID 83221-6130
(208) 244-5122
Mailing address
586 W 30 S, BLACKFOOT, ID 83221-6130
(208) 244-5122

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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