Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY J GARDNER, OT
ActiveSTACY J GARDNER, OT is a Pediatric Occupational Therapist healthcare provider located in SHELLEY, Idaho. NPI 1669239133 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SHELLEY, ID
Registration Details
- NPI Number
- 1669239133
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2024 (2.4123953413722 yrs)
- Last Updated
- Mar 1, 2024
- License
-
OT988 (ID)
Practice Information
- Address
-
650 N STATE ST STE 5SHELLEY, ID, 832744900Browse ID providers · Browse ZIP 83274
- Phone
- 2084286079
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.