IndividualActive
James Stephenson, PTA
NPI 1801452248 · Developmental Therapist · Lewiston, ID
Provider details
- NPI number
- 1801452248
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA-6295 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1014 Burrell Ave
Lewiston, ID 83501-5589
Phone: (208) 743-4558
Approximate (ZIP-level) locationGet directions
Mailing address
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
Registry dates
- Enumerated
- 2019-05-10
- Last updated
- 2019-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.