SearchIdaho222Q00000X

Mallory Chavez

NPI 1811830003 · on the registry since 2026 · sole proprietor

Practice

Address
1220 7th Ave E
Twin Falls, ID 83301
Phone
(208) 680-0258

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-28

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