IndividualActive
Amanda Lagerstrom, MOT OTR/L
NPI 1134848286 · Occupational Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1134848286
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT-2588 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3715 Woodking Dr
Idaho Falls, ID 83404-4720
Phone: (208) 529-2255
Approximate (ZIP-level) locationGet directions
Mailing address
6070 S 2000 W
Rexburg, ID 83440-4441
Registry dates
- Enumerated
- 2022-08-23
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.