OrganizationActive
Bounce Back OT LLC
NPI 1831949288 · Occupational Therapist · Rexburg, ID
Provider details
- NPI number
- 1831949288
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Amanda Lagerstrom, Occupational Therapist
Practice location
6070 S 2000 W
Rexburg, ID 83440-4441
Phone: (208) 356-3340
Fax: (833) 520-1454
Mailing address
6070 S 2000 W
Rexburg, ID 83440-4441
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2025-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.