Gary Willis, O.T

NPI 1710050414 · on the registry since 2006 · sole proprietor

Practice

Address: 151 N 4th Ave Ste A
Pocatello, ID 83201
Phone: (208) 604-0800
Organisation at this address: J Gorriceta Pllc
Beacon Therapy Llc
Specialized Family Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Occupational Therapist
225X00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-06-14

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