Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNIE MARIE MATTOX, PTA
ActiveJEANNIE MARIE MATTOX, PTA is a Occupational Therapist healthcare provider located in PLUMMER, Idaho. NPI 1205503539 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PLUMMER, ID
Registration Details
- NPI Number
- 1205503539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2021 (4.9427893278549 yrs)
- Last Updated
- Aug 25, 2021
- License
-
PTA-6401 (ID)
Practice Information
- Address
-
1100 A STREETPLUMMER, ID, 83851Browse ID providers · Browse ZIP 83851
- Phone
- 2086867041
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in PLUMMER, ID
| Name | Credential | NPI |
|---|---|---|
| MISS TIFFANY MARIE KORRER | PTA | 1861797060 |
| SELENE BONNELL-HALL | — | 1639542830 |
| RYAN MCCRERY | — | 1750846978 |
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.