| Amanda Cheyenne Enrico, OTR | |
|
30 E Little Ave, Driggs, ID 83422-5138 | |
| (208) 709-2911 | |
| Not Available |
| Full Name | Amanda Cheyenne Enrico |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 19 Years |
| Location | 30 E Little Ave, Driggs, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831381094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR719 (Wyoming) | Secondary |
| 225X00000X | Occupational Therapist | OT-835 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Occupational Therapy Unlimited, Llc | 8820243751 | 3 |
| Provider Name | Occupational Therapy Unlimited, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881931319 PECOS PAC ID: 8820243751 Enrollment ID: O20130227000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Cheyenne Enrico, OTR 548 Cobblecrest Rd, Driggs, ID 83422 Ph: (208) 709-2911 | Amanda Cheyenne Enrico, OTR 30 E Little Ave, Driggs, ID 83422-5138 Ph: (208) 709-2911 |
Susan Detweiler, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 180 S. Main St, C-2, Broulim's Retail Center, Driggs, ID 83422 Phone: 208-354-3128 | |
Dr. Taryn Lee Weil, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 N Main St, Driggs, ID 83422 Phone: 208-787-6900 | |
Heather Dawn Evans, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 Fax: 208-354-2911 | |
Jacob Andrew Belloli, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Howard St, Driggs, ID 83422 Phone: 208-354-2383 | |
Miss Martha Ann Farnsworth, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 | |
Caitlin M Lyon, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 N Highway 33 Ste 106, Driggs, ID 83422 Phone: 208-240-2820 Fax: 208-656-5647 |