Individual
SHAYLEE JACOBS CALAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 WOODKING DR, IDAHO FALLS, ID 83404-4720
(208) 529-2255
Mailing address
3635 E FIERCE WAY, IDAHO FALLS, ID 83401-1476
(208) 390-9450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2306
ID
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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