Cydnee L Gee, OTL

Individual provider Active NPI Occupational Therapist · Pocatello, ID

NPI 1093076754 · NPPES record last updated May 30, 2012

Key facts

NPI
1093076754
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTL-1143 (ID)
Practice address
1110 Call Creek Dr Ste 4B
Pocatello, ID 83201-3072
Phone
(208) 233-4660
Fax
(208) 233-4262
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OTL-1143IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Services, LLC Past
since Dec 29, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTL-1143 ID Yes

Addresses

Primary practice location

1110 Call Creek Dr Ste 4B
Pocatello, ID 83201-3072

Mailing address

310 Fairway Dr
Pocatello, ID 83201-2011
Phone (208) 233-4660

Other providers in Pocatello, ID

All providers in Pocatello, ID · Occupational Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.