IndividualActive
Bailey Porter, MSOT, OTR/L
NPI 1124530563 · Occupational Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1124530563
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSOT, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT-1288 (ID)
Practice location
2840 Channing Way Ste 100
Idaho Falls, ID 83404-7529
Phone: (208) 529-7924
Mailing address
2840 Channing Way Ste 100
Idaho Falls, ID 83404-7529
Registry dates
- Enumerated
- 2017-10-25
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.