| Lisa D Boggs, OTRL | |
|
1220 Montana St, Gooding, ID 83330-1856 | |
| (208) 934-5601 | |
| Not Available |
| Full Name | Lisa D Boggs |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1220 Montana St, Gooding, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225373939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT335 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa D Boggs, OTRL 880 E 2700 S, Hagerman, ID 83332-5602 Ph: (208) 358-1373 | Lisa D Boggs, OTRL 1220 Montana St, Gooding, ID 83330-1856 Ph: (208) 934-5601 |
Connie Vankleeck, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1695 State Highway 46, Gooding, ID 83330 Phone: 208-539-4186 | |
Tyler Mcomber, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-9693 | |
Cheyanna Christine Lierman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 N. Canyon Drive, Gooding, ID 83330 Phone: 208-934-8766 |