Healthcare Provider Details

I. General information

NPI: 1811833080
Provider Name (Legal Business Name): RACHEL DAWN PIZANO RC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 FALLS AVE STE C
TWIN FALLS ID
83301-3370
US

IV. Provider business mailing address

215 11TH AVE N
BUHL ID
83316-1603
US

V. Phone/Fax

Practice location:
  • Phone: 208-329-8762
  • Fax:
Mailing address:
  • Phone: 208-751-1373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number13112
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: