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

Stacy L Hannemann, OT

Individual provider Hand Occupational Therapist · NPI 1992763536

Stacy L Hannemann, OT is a Hand Occupational Therapist in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

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

10573 N Friar Dr Apt A
Hayden, ID 83835-8507
Phone: (661) 373-1118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence OT-1767 (ID)

Record details

NPI number1992763536
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

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