Conrad, Tammy Sue

Conrad, Tammy Sue is an individual health care provider with primary practice located at 36 Professional Plz Ste 110 , Rexburg ID 83440-2049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Conrad, Tammy Sue can be contacted via phone (208) 359-9570.

Contact Information

Primary practice address
36 Professional Plz Ste 110 Rexburg ID 83440-2049
Phone: (208) 359-9570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-1339 Idaho

Profile Details

NPI number 1538663059
LBN Legal business name Conrad, Tammy Sue
Credentials MOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2018
Last updated Apr 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538663059 NPPES
Idaho Other OT-1339 BUREAU OF OCCUPATIONAL LICENSES

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