| Camp Hippo Pediatric Therapy Llc | |
|
7 N 600 W, Blackfoot, ID 83221-5533 | |
| (208) 782-2267 | |
| Not Available |
| Full Name | Camp Hippo Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 7 N 600 W, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609032267 | NPI | - | NPPES |
| Provider Name | Betty C Jaques |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811054265 PECOS PAC ID: 2264517895 Enrollment ID: I20080306000694 |
| Provider Name | Holly M St John |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508147562 PECOS PAC ID: 8628219060 Enrollment ID: I20130726000262 |
| Provider Name | Morgen Tayler Stott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154095487 PECOS PAC ID: 6204232408 Enrollment ID: I20210914002447 |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Hippo Pediatric Therapy Llc 7 N 600 W, Blackfoot, ID 83221-5533 Ph: (208) 782-2267 | Camp Hippo Pediatric Therapy Llc 7 N 600 W, Blackfoot, ID 83221-5533 Ph: (208) 782-2267 |
Morgen Tayler Stott, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7 N 600 W, Blackfoot, ID 83221 Phone: 208-782-2267 | |
Holly Maurine St. John, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7 N 600 W, Blackfoot, ID 83221 Phone: 208-709-1200 | |
Eric Waters, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 N 740 W, Blackfoot, ID 83221 Phone: 208-684-4077 | |
Mrs. Betty Christina Jaques, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 N 600 W, Blackfoot, ID 83221 Phone: 208-684-9812 | |
Austin Wadsworth, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 881 James St, Blackfoot, ID 83221 Phone: 435-770-5499 |