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

Gary Howard Willis II, OT

Individual provider Occupational Therapist · NPI 1710050414

Gary Howard Willis II, OT is an Occupational Therapist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

151 N 4th Ave Ste A
Pocatello, ID 83201-6300
Phone: (208) 604-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT593 (ID)

Record details

NPI number1710050414
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026

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