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

RAYMOND WAYNE, PTA

Active Sole Proprietor

RAYMOND WAYNE, PTA is a Occupational Therapist healthcare provider located in IDAHO FALLS, Idaho. NPI 1386013373 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · IDAHO FALLS, ID

Registration Details

NPI Number
1386013373
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2015 (10.856930359318 yrs)
Last Updated
Sep 19, 2015
License
PTA-2712 (ID)
Sole Proprietor
Yes

Practice Information

Address
3054 SANDSTONE DR
IDAHO FALLS, ID, 834046824
Browse ID providers · Browse ZIP 83404
Phone
2085220838
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in IDAHO FALLS, ID

Name Credential NPI
MRS. BREANNA L KUMP PTA-288 1982976767
KASSANDRA NOELLE STINE PTA 1427572791
HEATHER MICHELE SMITH PTA 1588173959
SHELBY ANN MASON PTA 1538676234
JAMIE LYN SEELEY PTA 1144784349
TAILER PAIGE FOWLER 1417578519
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.