IndividualActive
Alyssa Wakeman
NPI 1578320313 · Occupational Therapist · Twin Falls, ID
Provider details
- NPI number
- 1578320313
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone: (208) 814-1000
Approximate (ZIP-level) locationGet directions
Mailing address
14101 Burnley Way
Rosemount, MN 55068-2255
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.