Search › Idaho › 363AM0700X
Todd Otstot, PA-C
NPI 1275523276 · on the registry since 2005
Practice
- Address
- 206 E Elm St
Caldwell, ID 83605 - Phone
- (208) 459-4511
- Organisation at this address
- Progressive Therapy Pc
Human Supports Of IdahoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 4424 E Flamingo Ave, Nampa, ID
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-06
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