Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. COURT T CHURCH
ActiveMR. COURT T CHURCH is a Occupational Therapist healthcare provider located in AMMON, Idaho. NPI 1588987812 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · AMMON, ID
Registration Details
- NPI Number
- 1588987812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2010 (16.490072954097 yrs)
- Last Updated
- Mar 1, 2010
- License
-
OT898 (ID)
Practice Information
- Address
-
2725 E 17TH STAMMON, ID, 834066601Browse ID providers · Browse ZIP 83406
- Phone
- 2085294567
- Primary Specialty
-
Occupational Therapist
225X00000X
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.