NPI 1184166886

Tyson Tony Rothwell, MOTRL

Practitioner Occupational Therapist Rexburg, ID

Practice location

Address: 393 E 2nd N, Rexburg, ID 83440-1605
Phone: (208) 359-9570
Fax: (208) 359-9580

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT-1162 (ID)

Other Occupational Therapist providers in Idaho →

Registry record

NPI: 1184166886
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2016
Record last updated: 11 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.