Graydon Dan Larsen, MOT, OTR/L | |
1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | |
(208) 535-1286 | |
Not Available |
Full Name | Graydon Dan Larsen |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 7 Years |
Location | 1460 Elk Creek Dr, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730857285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | OT-1809 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Home Clinix Utah Llc | 7810376977 | 6 |
Provider Name | University Of Utah Behavioral Health Services |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
Provider Name | Home Clinix Utah Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891455895 PECOS PAC ID: 7810376977 Enrollment ID: O20220620001418 |
Mailing Address | Practice Location Address |
---|---|
Graydon Dan Larsen, MOT, OTR/L 2646 Legends Cir, Idaho Falls, ID 83404-4801 Ph: (801) 386-3967 | Graydon Dan Larsen, MOT, OTR/L 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 Ph: (208) 535-1286 |
Brian Lane Olson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E 17th St # 400, Idaho Falls, ID 83404 Phone: 208-589-0807 | |
Mrs. Heidi Maxine Boyle, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255 | |
Perry Rex Lords, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 | |
Hannah Golden, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1460 Elk Creek, Idaho Falls, ID 83404 Phone: 208-535-1286 | |
Nicole Taylor Kamerman, MOT/R Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3814 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-360-4584 | |
Aaron Ashton May, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3111 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-0067 | |
Caroline Olivia Menser, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 |