IndividualActive
Amanda Werth, OTL
NPI 1720424104 · Occupational Therapist · Pocatello, ID
Provider details
- NPI number
- 1720424104
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTL
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTL1222 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1110 Call Creek Dr
Suite 7
Pocatello, ID 83201-3001
Phone: (208) 233-4660
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Call Creek Dr
Pocatello, ID 83201-3001
Registry dates
- Enumerated
- 2013-05-13
- Last updated
- 2013-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.