Heidi Maxine Boyle, MOTR/L
Individual provider Active NPI Occupational Therapist · Idaho Falls, ID
NPI 1013392802 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1013392802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-587 (ID)
- Practice address
- 3715 Woodking Dr
Idaho Falls, ID 83404-4720 - Phone
- (208) 529-2255
- NPI assigned
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-587 | ID | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-587 | ID | Yes |
Addresses
Primary practice location
3715 Woodking Dr
Idaho Falls, ID 83404-4720
Mailing address
3715 Woodking Dr
Idaho Falls, ID 83404-4720
Phone (208) 529-2255
Other names
- Heidi Maxine Jones
Other providers in Idaho Falls, ID
- Boyd K Southwick
- Boyd L Hammond MD PA
- Adrienne Boyd
- Boyle Family Dental
- Erin Boyle
- Nate Boyle
- Korri Jo Braase
- Brad D Smith, DO, PA
- Brad Jamison Chiropractic, P.L.L.C.
- Andrew Ryan Bradbury
All providers in Idaho Falls, ID · Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.