| Tammy Sue Conrad, MOTR/L | |
|
36 Professional Plz Ste 110, Rexburg, ID 83440-2049 | |
| (208) 359-9570 | |
| Not Available |
| Full Name | Tammy Sue Conrad |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 36 Professional Plz Ste 110, Rexburg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538663059 | NPI | - | NPPES |
| OT-1339 | Other | ID | BUREAU OF OCCUPATIONAL LICENSES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-1339 (Idaho) | Primary |
| Provider Name | Mhd Therapies Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316484983 PECOS PAC ID: 7113201831 Enrollment ID: O20170224000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Sue Conrad, MOTR/L Po Box 711, Rexburg, ID 83440-0711 Ph: (208) 359-9570 | Tammy Sue Conrad, MOTR/L 36 Professional Plz Ste 110, Rexburg, ID 83440-2049 Ph: (208) 359-9570 |
Bradley Saunders, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6532 | |
Dillon Rhet Merrill, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-354-9570 | |
Mr. Tyson Tony Rothwell, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 Fax: 208-359-9580 | |
Karen Jannette Stewart, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 36 Professional Plz Ste 110, Rexburg, ID 83440 Phone: 208-359-9570 | |
Jessica Porter Cook, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 | |
Mr. Bryce Parker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Tamarack Ave, Rexburg, ID 83440 Phone: 208-351-3608 | |
Elizabeth David Bowman, MSOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 36 Professional Plz Ste 110, Rexburg, ID 83440 Phone: 208-359-9570 Fax: 208-359-9580 |