Bagley, Jessica
Bagley, Jessica is an individual health care provider with primary practice located at 510 E 17Th St , Idaho Falls ID 83404-6154. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bagley, Jessica can be contacted via phone (208) 589-9578.Contact Information
Primary practice address
510 E 17Th St
Idaho Falls ID 83404-6154
Phone: (208) 589-9578
Fax: (208) 542-9577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-779 | Idaho |
Profile Details
| NPI number | 1720180441 |
|---|---|
| LBN Legal business name | Bagley, Jessica |
| Credentials | MOTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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