| Michelle Leigh Dietz, MSOTR/L | |
|
7211 W Franklin Rd, Boise, ID 83709-0926 | |
| (208) 375-4200 | |
| Not Available |
| Full Name | Michelle Leigh Dietz |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 7211 W Franklin Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447975909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | OT-2179 (Idaho) | Primary |
| Provider Name | Kaleidoscope Pediatric Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154693364 PECOS PAC ID: 8628449758 Enrollment ID: O20230126003364 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Leigh Dietz, MSOTR/L 7728 Arlington Dr, Nampa, ID 83687-8348 Ph: () - | Michelle Leigh Dietz, MSOTR/L 7211 W Franklin Rd, Boise, ID 83709-0926 Ph: (208) 375-4200 |
Murry Odonnell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-7275 | |
Anna Leora Rosse, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444 | |
Mr. Julie H Orozco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Mail Code(117), Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1241 | |
Macaile Hutt, MASTERS IN OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1172 W Franklin Rd, Boise, ID 83709 Phone: 208-375-4200 Fax: 208-375-4201 | |
Claire Marie Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Eric S Burback, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd Ste 304, Boise, ID 83706 Phone: 208-342-4263 Fax: 208-375-0597 | |
Jennifer K Dennis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9050 W Overland Rd, Boise, ID 83709 Phone: 208-321-8880 |