NPI age
2 years
Enumerated 2023-09-27
● Active
Type 1 · Individual
Maialisa Bennett
Bennett is 1 of 1 technician providers in Idaho Falls and 1 of 18 in Idaho.
Primary specialty
Technician
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 18 active technician providers in Idaho.
NPI age
2 years
↓ 2 yr below median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Practice location
2290 Robb St
Idaho Falls, ID 834022969
Mailing address
2290 Robb St
Idaho Falls, ID 834022969
Specialties
-
Technician PrimaryAn individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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