Carolyn Blaisdell, MS OTR/L
Individual provider Active NPI Occupational Therapist · Meridian, ID
NPI 1073913992 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1073913992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-963 (ID)
- Practice address
- 3525 E Louise Dr
Meridian, ID 83642-6302 - Phone
- (208) 489-5099
- NPI assigned
- Aug 28, 2014
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-963 | ID | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-963 | ID | Yes |
Addresses
Primary practice location
3525 E Louise Dr
Meridian, ID 83642-6302
Mailing address
12234 W Auckland St
Boise, ID 83709-5289
Phone (434) 825-5091
Other providers in Meridian, ID
- Blackmer Podiatry
- Blackrock Orthopedic Specialists LLC
- Lacee Danielle Blackstone
- Chad Blair
- Randall Parley Blair
- Lloyd W. Blake
- Sheila Marie Blewett
- Marijke Blokker
- Blood on the Run Inc.
- Bloom Idaho LLC
All providers in Meridian, 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 Feb 26, 2025. 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.