SearchIdaho103K00000X

Mitzi Thursby

NPI 1518650803 · on the registry since 2023 · sole proprietor

Practice

Address
4694 Ramsgate Dr
Pocatello, ID 83202
Phone
(208) 223-3828

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Sex
Female
Record last updated
2023-06-01

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