NEVILLE SPINAL BALANCE PLLC NPI 1104065093

NPI Information

  • NPI: 1104065093
  • Provider Name: NEVILLE SPINAL BALANCE PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2145 WEST BROADWAY STREET
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 522-3130

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NPI Details

NEVILLE SPINAL BALANCE PLLC is a clinic center in Idaho Falls, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NEVILLE SPINAL BALANCE PLLC NPI is 1104065093. The provider is registered as an organization entity type.

The provider's business location address is:

2145 WEST BROADWAY STREET
IDAHO FALLS, ID
ZIP 83402-904
Phone: (208) 522-3130

The provider's authorized official is Trever Neville .
The authorized official title is Owner and has the following contact phone number (208) 522-3130.

The enumeration date for this NPI number is 2/17/2009 and was last updated on 6/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterCHIA-1331IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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