Individual provider · Type 1 NPI

Carly Kay Powell

Developmental Therapist · Idaho Falls, ID

NPI number 1073974515 Active

Practice location

150 Shoup Avenue
Idaho Falls, ID 83402

Call (208) 201-3978 Map

Mailing address

150 Shoup Ave
Idaho Falls, ID 83402-3657

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1073974515

Carly Kay Powell's National Provider Identifier is 1073974515, issued on Mar 11, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 11, 2016.