CRANIOSPINAL INSTITUTE PLLC is a specialist in Idaho Falls, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CRANIOSPINAL INSTITUTE PLLC NPI is 1851571376. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2860 CHANNING WAY STE 114 IDAHO FALLS, ID ZIP 83404-531 Phone: (208) 535-4343 Fax: (208) 535-4344
The provider's authorized official is Shane Mangrum . The authorized official title is Owner and has the following contact phone number (208) 535-4343.
The enumeration date for this NPI number is 11/13/2007 and was last updated on 1/4/2008.
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:
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
NPI Synchronization or Removal
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