Individual
MICAH BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 732-1503
Mailing address
892 CANYON RIM RD, TWIN FALLS, ID 83301-0025
(208) 283-6084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-958
ID
225X00000X
Occupational Therapist
OT958
ID
Other
Enumeration date
08/31/2015
Last updated
01/23/2026
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