Lisa Smallwood, OTR/L | |
1505 Madrona St N, Twin Falls, ID 83301-8318 | |
(719) 659-1426 | |
Not Available |
Full Name | Lisa Smallwood |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1505 Madrona St N, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073970851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTP-OT-LIC-3996 (Montana) | Primary |
Provider Name | North Canyon Medical Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
Mailing Address | Practice Location Address |
---|---|
Lisa Smallwood, OTR/L 132 Fillmore St, Twin Falls, ID 83301-5206 Ph: () - | Lisa Smallwood, OTR/L 1505 Madrona St N, Twin Falls, ID 83301-8318 Ph: (719) 659-1426 |
Joel Vinson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 | |
Jason Ross Urry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Pole Line Rd W Ste 307, Twin Falls, ID 83301 Phone: 208-814-3726 | |
Alysia Budd, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 | |
Erin Krause, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2495 | |
Rhonda L Shively, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1600 | |
Aimee Abel, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1062 Par Ct, Twin Falls, ID 83301 Phone: 208-814-2495 |