IndividualActive
Betty Jaques, OTRL
NPI 1811054265 · Occupational Therapist · Blackfoot, ID
Provider details
- NPI number
- 1811054265
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT-232 (ID)
Mailing address
7 N 600 W
Blackfoot, ID 83221-5533
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.