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Mallory Chavez

Developmental Therapist in Twin Falls, ID. Individual provider (NPI-1).

NPI number1811830003
StatusActive
Last updated in NPPESMay 28, 2026

Details

NPI
1811830003
Entity type
Individual (NPI-1)
Name
Mallory Chavez
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 13, 2026
Certification date
May 28, 2026
Last updated
May 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist–IDYes

Practice location

1220 7th Ave E
Twin Falls, ID 83301-6914

Phone 208-680-0258

Mailing address

1220 7th Ave E
Twin Falls, ID 83301-6914

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Other Developmental Therapist providers in Twin Falls, ID

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