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Hailey Grimes

NPI 1063225563 · on the registry since 2025 · sole proprietor

Practice

Address
1140 American Legion Blvd
Mountain Home, ID 83647
Phone
(208) 580-5431
Clinicians at this address
8

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-29

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