Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRESTON ROGER POULTER, OTR/L MSOT
Active Sole ProprietorPRESTON ROGER POULTER, OTR/L MSOT is a Occupational Therapist healthcare provider located in IDAHO FALLS, Idaho. NPI 1154172245 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1154172245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2024 (2.4239996145712 yrs)
- Last Updated
- Apr 2, 2024
- License
-
OT-2860 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
564 S WOODRUFF AVEIDAHO FALLS, ID, 834015298Browse ID providers · Browse ZIP 83401
- Phone
- 2085237571
- Fax
- 2085237573
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MISS JESSICA BAGLEY | MOTR/L | 1720180441 |
| MRS. JENNIFER ANN GIBBARD | MOTR/L | 1669574174 |
| MS. AJ JAQUES | OTRL | 1659461168 |
| WILLIAM BRENT GRIFFETH | — | 1588727879 |
| NATHAN D LONG | OTR/L | 1740489293 |
| MR. AARON LOWRY | OT | 1780863530 |
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.