Jason W Balls, OTR/L
Occupational Therapist in Blackfoot, ID. Individual provider (NPI-1).
NPI number1124448675
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1124448675
- Entity type
- Individual (NPI-1)
- Name
- Jason W Balls
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2014
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-1903 | ID | Yes |
Practice location
586 W 30 SBlackfoot, ID 83221-6130
Phone 208-244-5122
Mailing address
586 W 30 SBlackfoot, ID 83221-6130
Phone 208-244-5122
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All 8 Occupational Therapist providers in Blackfoot · All 515 providers in Blackfoot
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