Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETTON MOOSMAN
Active Sole ProprietorBRETTON MOOSMAN is a Pediatric Occupational Therapist healthcare provider located in RIGBY, Idaho. NPI 1154079598 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · RIGBY, ID
Registration Details
- NPI Number
- 1154079598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2022 (4.4493823150146 yrs)
- Last Updated
- Mar 15, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
152 E MAIN ST STE 110RIGBY, ID, 834425268Browse ID providers · Browse ZIP 83442
- Phone
- 2087457101
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.