WESTERN CENTER FOR REHABILITATION
NPI 1225180110
Rehabilitation Practitioner in Idaho Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since January 18, 2007

2860 CHANNING WAY, 114, IDAHO FALLS, ID 83404(208) 535-4343(208) 535-4344 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Western Center For Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN CENTER FOR REHABILITATION (NPI 1225180110) is a healthcare organization registered as a rehabilitation practitioner in Idaho Falls, Idaho and active in the NPI registry since January 2007. The organization lists Shane Christian Mangrum, Owner, as its authorized official.

NPPES Registry Identity

NPI1225180110

Entity TypeOrganization

Primary Taxonomy225400000X

Legal Business NameWESTERN CENTER FOR REHABILITATION

Location Address2860 CHANNING WAY, 114Idaho Falls, ID 83404-7531

Mailing Address2860 Channing Way, 114Idaho Falls, ID 83404-7531 · (208) 535-4343 · Fax (208) 535-4344

Phone(208) 535-4343

Fax(208) 535-4344

Organization SubpartNo

Authorized OfficialShane Christian MangrumOwner · (208) 535-4343

Enumeration DateJanuary 18, 2007

Last NPPES UpdateNovember 15, 2007

✔ NPI 1225180110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

License✔ Licensed in ID · M9189

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

2860 CHANNING WAY, Idaho Falls, ID 83404

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Other Identifiers 1

Medicare ID-Type Unspecified1378997ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP