Root & Renew Pro-Health Solutions
Occupational Therapist in Blackfoot, ID. Organization (NPI-2).
NPI number1699580274
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1699580274
- Entity type
- Organization (NPI-2)
- Legal business name
- Root & Renew Pro-Health Solutions
- Organization subpart
- No
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 10, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | 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
Authorized official
Jason Balls
Owner
2082445122
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Other Occupational Therapist providers in Blackfoot, ID
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- Betty Christina Jaques, OTRLNPI 1811054265
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- Morgen Tayler Stott, MOTNPI 1154095487
- Austin WadsworthNPI 1871866525
- Eric WatersNPI 1730499179
All 8 Occupational Therapist providers in Blackfoot · All 515 providers in Blackfoot
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