| Root & Renew Pro-health Solutions | |
|
586 W 30 S, Blackfoot, ID 83221-6130 | |
| (208) 244-5122 | |
| Not Available |
| Full Name | Root & Renew Pro-health Solutions |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 586 W 30 S, Blackfoot, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699580274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Root & Renew Pro-health Solutions 586 W 30 S, Blackfoot, ID 83221-6130 Ph: (208) 244-5122 | Root & Renew Pro-health Solutions 586 W 30 S, Blackfoot, ID 83221-6130 Ph: (208) 244-5122 |
Jason W Balls, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 586 W 30 S, Blackfoot, ID 83221 Phone: 208-244-5122 | |
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 |