Stacy J Gardner, OT
Stacy J Gardner, OT is a Pediatric Occupational Therapist in Shelley, Idaho. Licensed in Idaho. Registered with an NPI since 2024.
- Licensed in
- ID
- In the registry since
- 2024
What do these letters mean?
- OT — Occupational Therapist
- Helps people regain the skills needed for daily living and work.
Practice location Address checks out
650 N State St Ste 5Shelley, ID 83274-4900
Phone: (208) 428-6079
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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 OT988 (ID) |
|---|
Record details
| NPI number | 1669239133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OT |
| Sole proprietor | No |
| NPI enumerated | March 1, 2024 |
| Last updated in NPPES | March 1, 2024 |
| Certification date | March 1, 2024 |
| Mailing address | 650 N State St Ste 5, Shelley, ID 83274-4900 |