Search › Idaho › 225X00000X
Jacob Belloli, OTR/L
NPI 1669209532 · on the registry since 2024
Practice
- Address
- 120 E Howard St
Driggs, ID 83422 - Phone
- (208) 354-2383
- Organisation at this address
- Teton Valley Health Care Inc
Teton Valley Health Care, Inc
Teton Valley Hospital & SurgicenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 660 S 2nd W, Rexburg, ID
- 3111 Channing Way, Idaho Falls, ID
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XG0600X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-16
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