# THERAPY FOR LIFE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225162597
- **Authorized official:** BRAD ARCHIBALD OTR (OWNER)
- **Authorized official phone:** (208) 351-0651

## Contact information

- **Practice address:** 4893 CAMAS CREEK CIRCLE, IONA, ID 83427
- **Practice address phone:** (208) 351-0651
- **Practice address fax:** (208) 528-0989
- **Mailing address:** P.O. BOX 354, IONA, ID 83427
- **Mailing address phone:** (208) 351-0651
- **Mailing address fax:** (208) 528-0989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-637 | ID | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020