Search › Idaho › 1041C0700X
Taresa Crow
NPI 1922627314 · on the registry since 2020
Practice
- Address
- 3655 Samuel St
Ammon, ID 83406 - Phone
- (208) 403-7762
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-26
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