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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON DETWILER

Active Sole Proprietor

JASON DETWILER is a Occupational Therapist healthcare provider located in BOISE, Idaho. NPI 1275197667 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BOISE, ID

Registration Details

NPI Number
1275197667
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2019 (7.3162723539559 yrs)
Last Updated
May 1, 2019
License
40QB00360700 (NJ)
Sole Proprietor
Yes

Practice Information

Address
2411 S ESSEX WAY
BOISE, ID, 837092304
Browse ID providers · Browse ZIP 83709
Phone
2083530976
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in BOISE, ID

Name Credential NPI
MRS. LINDA ANN CHATBURN PTA 1437219185
ROB BLEST 1164552527
TERRI DALE WHITMORE P.T.A. 1285840058
MR. CHAD GORDON BAINBRIDGE PTA PHYSICAL THERAPI 1023225737
LISA DAWN UPSON PTA 1689835290
APRIL PERSON 1639323025
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.