IndividualActive
Alyssa Shirley, OTR/L
NPI 1285520536 · Occupational Therapist · Star, ID
Provider details
- NPI number
- 1285520536
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 6471866 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12222 W Bridger Bay Dr
Star, ID 83669-5081
Phone: (208) 391-2773
Approximate (ZIP-level) locationGet directions
Mailing address
12222 W Bridger Bay Dr
Star, ID 83669-5081
Registry dates
- Enumerated
- 2025-06-14
- Last updated
- 2025-06-14
- Certified
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.