Ms Briana Nora Tyne Acker, | |
100 Hospital Drive, Ketchum, ID 83340 | |
(208) 727-8100 | |
Not Available |
Full Name | Ms Briana Nora Tyne Acker |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 100 Hospital Drive, Ketchum, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841756947 | NPI | - | NPPES |
OT-2032 | Other | ID | IDAHO OCCUPATIONAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-2032 (Idaho) | Primary |
Provider Name | Laurie J Hartley |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285855676 PECOS PAC ID: 1759493109 Enrollment ID: I20101201000975 |
Mailing Address | Practice Location Address |
---|---|
Ms Briana Nora Tyne Acker, Po Box 100, Ketchum, ID 83340-0100 Ph: (208) 727-8800 | Ms Briana Nora Tyne Acker, 100 Hospital Drive, Ketchum, ID 83340 Ph: (208) 727-8100 |
Siarra Walker, OTR/L, OTD, ATC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Suite 104, Ketchum, ID 83340 Phone: 208-727-8253 | |
Coleman Joshua Lay, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr #104, Ketchum, ID 83340 Phone: 208-727-8253 Fax: 208-727-8258 | |
Rooted Womens Health Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 431 N Walnut Ave, Ketchum, ID 83340 Phone: 206-310-1158 |