Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DAELENE SUEANN TIBBITTS, PTA
Active Sole ProprietorMRS. DAELENE SUEANN TIBBITTS, PTA is a Occupational Therapist healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1891247912 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1891247912
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2016 (9.8123104114059 yrs)
- Last Updated
- Oct 25, 2016
- License
-
PTA-4637 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1665 E 5TH NMOUNTAIN HOME, ID, 83647Browse ID providers · Browse ZIP 83647
- Phone
- 2085985047
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MOUNTAIN HOME, ID
| Name | Credential | NPI |
|---|---|---|
| LESTER BARROSO | — | 1568893667 |
| CHRISTOPHER STAINBERG | — | 1528483211 |
| ANGELA HALE | — | 1396148029 |
| MELISSA COBB | — | 1811361231 |
| SABLE C HART | — | 1063239861 |
| SENECA SELEY | PTA | 1154139285 |
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.