Healthcare Provider Details

I. General information

NPI: 1154238319
Provider Name (Legal Business Name): VALLEY FOOT & ANKLE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 S 1ST W STE B
PRESTON ID
83263-1244
US

IV. Provider business mailing address

1455 BENCH RD STE B
POCATELLO ID
83201-2444
US

V. Phone/Fax

Practice location:
  • Phone: 208-852-2585
  • Fax: 208-233-8771
Mailing address:
  • Phone: 208-232-0006
  • Fax: 208-233-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: MELANIE GARBETT
Title or Position: OFFICE MANAGER
Credential:
Phone: 208-232-0006