Individual provider · Type 1 NPI

Gary Howard Willis Ii, O.T.

Occupational Therapist · Pocatello, ID

NPI number 1710050414 Active

Practice location

151 N 4th Ave Ste A
Pocatello, ID 83201-6300

Call (208) 604-0800 Map

Mailing address

1030 Stars Rd
Chubbuck, ID 83202-1982

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT593 (ID)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

2 other providers at this address

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About NPI 1710050414

Gary Howard Willis Ii, O.T.'s National Provider Identifier is 1710050414, issued on Nov 17, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 14, 2026.