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General NPI Number Information
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NPI Number | 1104775485
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Entity Type | Organization
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Legal Business Name | ARKETYPE HEALTH POST FALLS LLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1590 E SELTICE WAY STE 101
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City | POST FALLS
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State | ID
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Zip | 83854-9531
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Country | US
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Telephone | 208-981-3500
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Fax | 208-981-3640
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Provider Business Mailing Address
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Address Line | 1590 E SELTICE WAY STE 101
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City | POST FALLS
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State | ID
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Zip | 83854-9531
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Country | US
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Telephone | 208-981-3500
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Fax | 208-981-3640
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Authorized Official
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Title or Position | OWNER
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Name | DR. RYAN J SOUSLEY
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Credential | DC
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Telephone | 208-771-4474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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