Search › Idaho › 183500000X
Takoda Averett
NPI 1902522600 · on the registry since 2022
Practice
- Address
- 1015 Young St.
Pocatello, ID 83201 - Phone
- (410) 200-1000
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-13
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