Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE BUNDY, MOTR/L
Active Sole ProprietorJAKE BUNDY, MOTR/L is a Occupational Therapist healthcare provider located in POCATELLO, Idaho. NPI 1972005361 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · POCATELLO, ID
Registration Details
- NPI Number
- 1972005361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2018 (8.4124874092422 yrs)
- Last Updated
- Mar 1, 2018
- License
-
OT-1457 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
560 MEMORIAL DR STE BPOCATELLO, ID, 832014073Browse ID providers · Browse ZIP 83201
- Phone
- 2082354263
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| BARBARA K PETERSON | OCCUPT. THERAPIST | 1265490080 |
| MS. MARY A. SCHMIDT | OTR/L | 1417960899 |
| MR. THEODORE WILLIAM PETERSON | O.T.R. | 1558434928 |
| JANICE JEAN | MOTR/L,CHT | 1578775037 |
| MRS. LORIANN HELGESON | OTRL | 1922219161 |
| PATRICE CHAMBERS | OTR/L | 1497954671 |
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.