| Kaleidoscope Pediatric Therapy Llc | |
|
7211 W Franklin Rd, Boise, ID 83709-0926 | |
| (208) 375-4200 | |
| (208) 375-4201 |
| Full Name | Kaleidoscope Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 7211 W Franklin Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154693364 | NPI | - | NPPES |
| 1881962538 | Medicaid | ID | |
| 1124199443 | Medicaid | ID | |
| 1083876916 | Medicaid | ID |
| Provider Name | Megan K Wiskirchen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881962538 PECOS PAC ID: 8325419450 Enrollment ID: I20230306001794 |
| Provider Name | Michelle L Dietz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447975909 PECOS PAC ID: 1456725514 Enrollment ID: I20230314000106 |
| Provider Name | Hailey C Loya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972121713 PECOS PAC ID: 9032534839 Enrollment ID: I20230314002647 |
| Provider Name | Katherine S Rowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124199443 PECOS PAC ID: 7416328547 Enrollment ID: I20230315001302 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Pediatric Therapy Llc 7211 W Franklin Rd, Boise, ID 83709-0926 Ph: (208) 375-4200 | Kaleidoscope Pediatric Therapy Llc 7211 W Franklin Rd, Boise, ID 83709-0926 Ph: (208) 375-4200 |
Murry Odonnell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-7275 | |
Mr. Julie H Orozco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Mail Code(117), Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1241 | |
Macaile Hutt, MASTERS IN OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1172 W Franklin Rd, Boise, ID 83709 Phone: 208-375-4200 Fax: 208-375-4201 | |
Eric S Burback, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd Ste 304, Boise, ID 83706 Phone: 208-342-4263 Fax: 208-375-0597 | |
Jennifer K Dennis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9050 W Overland Rd, Boise, ID 83709 Phone: 208-321-8880 | |
Sarah Ann Oftedal, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5609 S Adonis Pl, Boise, ID 83716 Phone: 208-794-2674 | |
Lisa Hartigan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 E Schmeizer Ln, Boise, ID 83706 Phone: 208-587-0921 |