IndividualActive
Austin Wadsworth
NPI 1871866525 · Occupational Therapist · Blackfoot, ID
Provider details
- NPI number
- 1871866525
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT-1073 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
881 James St
Blackfoot, ID 83221-3919
Phone: (435) 770-5499
Approximate (ZIP-level) locationGet directions
Mailing address
881 James St
Blackfoot, ID 83221-3919
Registry dates
- Enumerated
- 2012-02-10
- Last updated
- 2012-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.