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

Joshua Barnett Wilde

Individual provider Pediatric Occupational Therapist · NPI 1174374557

Joshua Barnett Wilde is a Pediatric Occupational Therapist in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
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Practice location Address checks out

1460 Elk Creek Dr
Idaho Falls, ID 83404-8237
Phone: (208) 535-1286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT-2839 (ID)

Record details

NPI number1174374557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

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