Organization
ASPEN MANAGMENT SERVICES INC
Active
Parent organization
ASPEN MANAGEMENT SERVICES INC
Other names
Advanced Health and Physical Therapy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPEN MANAGEMENT SERVICES INC
Authorized official
DR. GARY OLAVESON D.C. (OWNER/CHIROPRACTOR)
(208) 552-9886
Entity
Organization
Contact information
Practice address
657 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 552-9886
(208) 552-9843
Mailing address
645 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 552-9886
(208) 552-9843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149844
BLUE SHIELD PROVIDER NO
ID
01
—
TC126
BLUE CROSS PROVIDER NO
ID
Enumeration date
10/16/2006
Last updated
08/10/2025
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