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Thanh Davenport
NPI 1073462396 · on the registry since 2026 · sole proprietor
Practice
- Address
- 340 S 1st W Apt 318
Rexburg, ID 83440 - Phone
- (520) 208-0820
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-28
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