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KETAMINE INFUSIONS OF IDAHO
NPI 1730769142
Clinic/Center - Infusion Therapy in Idaho Falls, ID

Active since April 09, 2021
1582 ELK CREEK DR, IDAHO FALLS, ID 83404(208) 607-8401 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ketamine Infusions Of Idaho NPPES

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

KETAMINE INFUSIONS OF IDAHO (NPI 1730769142) is a healthcare organization registered as an infusion therapy in Idaho Falls, Idaho and active in the NPI registry since April 2021. The organization lists Christina Stubbs, Owner, as its authorized official.

NPPES Registry Identity

NPI1730769142
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameKETAMINE INFUSIONS OF IDAHO
Location Address1582 ELK CREEK DRIdaho Falls, ID 83404-8322
Mailing AddressPo Box 3646Idaho Falls, ID 83403-3646 · (208) 607-8401 · Fax (208) 534-5838
Phone(208) 607-8401
Organization SubpartNo
Authorized OfficialChristina StubbsOwner · (208) 607-8401
Enumeration DateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1730769142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
1582 ELK CREEK DR, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SNAKE RIVER HEARING AND BALANCE LLC
Audiologist-Hearing Aid Fitter
1582 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 542-5414
BENJAMIN LEISHMAN D.O.
Family Medicine
1582 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 881-0227
CRAIG ALLRED AUD
Audiologist
1582 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 542-5414
JOSH SIRUCEK D.O.
Family Medicine
1582 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 213-5256
ALTITUDE SPORT & SPINE PLLC
Family Medicine (Sports Medicine)
1582 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 213-5256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketamine Infusions Of Idaho's NPI number?

The NPI number for Ketamine Infusions Of Idaho is 1730769142. It was assigned to this organization in the NPPES registry on April 9, 2021.

Where is Ketamine Infusions Of Idaho located?

Ketamine Infusions Of Idaho is located at 1582 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 607-8401.

What is Ketamine Infusions Of Idaho's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Ketamine Infusions Of Idaho was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.