CAMP HIPPO PEDIATRIC THERAPY LLC.; NPI #1902084833

Contact Information

CAMP HIPPO PEDIATRIC THERAPY LLC.

7 N 600 W
BLACKFOOT, ID 83221-5533

Phone: 208-782-2267
Fax: 208-684-9812
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Medical Specialty	261QM2500X

Indicates primary specialty

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NPI Profile & details for CAMP HIPPO PEDIATRIC THERAPY LLC.

NPI Number 1902084833

LBN Legal business name CAMP HIPPO PEDIATRIC THERAPY LLC.

Authorized official BETTY JAQUES - (OCCUPATIONAL THERAPIST/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/01/2008

Last updated 02/01/2008 - About 18 years ago

Identifiers

ID	License #	OT-232
ID	Other	232-OT	OT LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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