Mrs Jaclyn Ann Chavez, OTR/L - Occupational Therapist in Lewiston, ID

Mrs Jaclyn Ann Chavez, OTR/L is a Occupational Therapist based in Lewiston, Idaho. Mrs Jaclyn Ann Chavez is licensed to practice in Idaho (license number OT-768) and her current practice location is 3600 Country Club Dr, Lewiston, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 503-2194.

NPI number for Mrs Jaclyn Ann Chavez is 1750543930 and her current mailing address is 3600 Country Club Dr, Lewiston, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750543930.

Contact Information

Mrs Jaclyn Ann Chavez, OTR/L
3600 Country Club Dr,
Lewiston, ID 83501-9621
(208) 503-2194
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jaclyn Ann Chavez
GenderFemale
SpecialityOccupational Therapist
Location3600 Country Club Dr, Lewiston, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750543930
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 04/23/2017

Medical Identifiers

Medical identifiers for Mrs Jaclyn Ann Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750543930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-768 (Idaho)Primary
225X00000XOccupational Therapist 00004442 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jaclyn Ann Chavez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jaclyn Ann Chavez, OTR/L
3600 Country Club Dr,
Lewiston, ID 83501-9621

Ph: (208) 503-2194
Mrs Jaclyn Ann Chavez, OTR/L
3600 Country Club Dr,
Lewiston, ID 83501-9621

Ph: (208) 503-2194

Reviews and Comments


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