IndividualActive
Alicia Johnson
NPI 1730545997 · Occupational Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1730545997
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- OT-979 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2327 Coronado St
Idaho Falls, ID 83404-7407
Phone: (208) 680-1445
Approximate (ZIP-level) locationGet directions
Mailing address
4213 Barton Ln
Ammon, ID 83406-5040
Registry dates
- Enumerated
- 2016-01-04
- Last updated
- 2016-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.