Organization
KIDS IN BLOOM OCCUPATIONAL THERAPY, PLLC
Active
Organization
KIDS IN BLOOM OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN LYON MOT, OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(208) 240-2820
Entity
Organization
Contact information
Practice address
1420 N HIGHWAY 33 STE 205, DRIGGS, ID 83422-5316
(208) 240-2820
(208) 656-5647
Mailing address
3808 WOOD RD, VICTOR, ID 83455-5352
(208) 240-2820
(208) 656-5647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID012938
—
ID
Enumeration date
09/05/2023
Last updated
07/03/2026
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