# BOUNCE BACK OT LLC

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

## Provider details

- **NPI number:** 1831949288
- **Authorized official:** AMANDA LAGERSTROM MOTL/R (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (208) 356-3340

## Contact information

- **Practice address:** 6070 S 2000 W, REXBURG, ID 83440-4441
- **Practice address phone:** (208) 356-3340
- **Practice address fax:** (833) 520-1454
- **Mailing address:** 6070 S 2000 W, REXBURG, ID 83440-4441
- **Mailing address phone:** (208) 356-3340
- **Mailing address fax:** (833) 520-1454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2024
- **Last updated:** 12/19/2025