Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN STODDARD, DPT
ActiveErgonomics (Occupational Therapy) · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1073115382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2020 (5.4448852986856 yrs)
- Last Updated
- Dec 3, 2020
- License
-
PT-3572 (ID)
Practice Information
- Address
-
804 PANCHERI DRIDAHO FALLS, ID, 834023344Browse ID providers · Browse ZIP 83402
- Phone
- 2084037422
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
- Additional Specialty
- Ergonomics (Occupational Therapy)
- Additional Specialty
- 2251C2600X
- Additional Specialty
- Hand Therapy
- Additional Specialty
- Pediatric Occupational Therapy
Other Ergonomics (Occupational Therapy) Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| JOSEPH MONTE WIGHT | DPT | 1851645634 |
| CORY BECK | DPT | 1376147991 |
| CONNOR DANIEL FRIED | DPT | 1982465944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.