Betty Christina Jaques, OTRL
Occupational Therapist in Blackfoot, ID. Individual provider (NPI-1).
NPI number1811054265
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1811054265
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Betty Christina Jaques
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-232 | ID | |
| 225XP0200X | Occupational Therapist, Pediatrics | OT-232 | ID |
Practice location
7 N 600 WBlackfoot, ID 83221-5533
Phone 208-684-9812
Mailing address
7 N 600 WBlackfoot, ID 83221-5533
Phone 208-684-9812
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All 8 Occupational Therapist providers in Blackfoot · All 515 providers in Blackfoot
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