Search › Idaho › 208800000X
Richard Blatter, D.O
NPI 1154682565 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2001 S Woodruff Ave Ste 4
Idaho Falls, ID 83404 - Phone
- (208) 524-4511
- Fax
- (208) 524-4540
- Organisation at this address
- Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Additional practice sites
- 909 Fee Rd, East Lansing, MI
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 208800000X
208800000X
208800000X - Licence states on file
- MI, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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