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

JESSICA M DIVIESTI, OTR/L

Active Sole Proprietor

JESSICA M DIVIESTI, OTR/L is a Occupational Therapist healthcare provider located in IDAHO FALLS, Idaho. NPI 1972845261 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · IDAHO FALLS, ID

Registration Details

NPI Number
1972845261
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2013 (13.366475141427 yrs)
Last Updated
Mar 25, 2013
License
OT-820 (ID)
Sole Proprietor
Yes

Practice Information

Address
935 SAFSTROM DR
IDAHO FALLS, ID, 834014107
Browse ID providers · Browse ZIP 83401
Phone
2085202120
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in IDAHO FALLS, ID

Name Credential NPI
MISS JESSICA BAGLEY MOTR/L 1720180441
MRS. JENNIFER ANN GIBBARD MOTR/L 1669574174
MS. AJ JAQUES OTRL 1659461168
WILLIAM BRENT GRIFFETH 1588727879
NATHAN D LONG OTR/L 1740489293
MR. AARON LOWRY OT 1780863530
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.