Brad Archibald in Iona - Occupational Therapist
Brad Archibald - NPI 1902927056
Brad Archibald is a Occupational Therapist in Iona, Idaho. Brad Archibald practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Brad Archibald is 1902927056. The last update date is 2007-07-08.
Brad Archibald's current location address is Po Box 354, Iona, Idaho. You can contact this provider via phone number 2083510651 and fax number 2085280989. The mailing address for Brad Archibald is Po Box 354, Iona, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Archibald |
|---|---|
| Address | Po Box 354, Iona, Idaho |
| Phone Number | 2083510651 |
| Fax Number | 2085280989 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1902927056 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 354 |
|---|---|
| City | Iona |
| State | Idaho (ID) |
| Post Code | 834270354 |
| Phone Number | 2083510651 |
| Fax Number | 2085280989 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT-637 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TA930 | ID | BLUE CROSS GROUP # | |
| W0996 | ID | BLUE CROSS PROVIDERNUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brad Archibald by the Centers for Medicare & Medicaid Services?
The Brad Archibald has been assigned the NPI (National Provider Identifier) 1902927056 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Brad Archibald is physically located?
The Brad Archibald is physically situated at the following address: Po Box 354, Iona, ID, 834270354.
What is Brad Archibald's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brad Archibald is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
On what date did Brad Archibald receive its 1902927056 assignment from the Centers for Medicare & Medicaid Services?
The Brad Archibald was assigned its 1902927056 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brad Archibald most recently updated or revised?
The information pertaining to Brad Archibald, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.