# CAMP HIPPO PEDIATRIC THERAPY LLC

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

## Provider details

- **NPI number:** 1609032267
- **Authorized official:** MRS. MORGEN TAYLER STOTT MOTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (208) 782-2267

## Contact information

- **Practice address:** 7 N 600 W, BLACKFOOT, ID 83221-5533
- **Practice address phone:** (208) 782-2267
- **Mailing address:** 7 N 600 W, BLACKFOOT, ID 83221-5533
- **Mailing address phone:** (208) 782-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTA 2406 | ID | — |
| 225X00000X | Occupational Therapist | OT 232 | ID | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | 12125357 | ID | — |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 03/12/2025