SearchIdaho225XH1200X

Stacy Hannemann, OT

NPI 1992763536 · on the registry since 2006

Practice

Address
10573 N Friar Dr Apt A
Hayden, ID 83835
Phone
(661) 373-1118

Registry record

Primary taxonomy
225XH1200X
225XH1200X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-22

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