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Search › Idaho › 103TS0200X

Zachary Heaton

NPI 1043134620 · on the registry since 2026

Practice

Address
357 W Center St Ste 3
Pocatello, ID 83204
Phone
(208) 244-0081
Fax
(833) 307-2598
Organisation at this address
Tri Management
Se Id Caregiving Llc
Se Id Caregiving Llc
Maximum Security Inc
Se Id Caregiving Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho