Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palouse Ridge Occupational Therapy PLLC

Organization Pediatric Occupational Therapist · NPI 1609518166

Palouse Ridge Occupational Therapy PLLC is a Pediatric Occupational Therapist in Potlatch, Idaho. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 Elm St
Potlatch, ID 83855
Phone: (208) 669-3186
Fax: (208) 747-0782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1609518166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Black — Occupational Therapist · (208) 669-3186
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing address1026 Grange Park Rd, Princeton, ID 83857-5500

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