SearchIdaho225X00000X

Bailey Porter, MSOT, OTR/L

NPI 1124530563 · on the registry since 2017 · sole proprietor

Practice

Address
2840 Channing Way Ste 100
Idaho Falls, ID 83404
Phone
(208) 529-7924

Additional practice sites

  • 2280 E 25th St, Idaho Falls, ID

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho