Healthcare Provider Details

I. General information

NPI: 1225957657
Provider Name (Legal Business Name): EMILY BLEICHER OTD, OTR, LSVT-BIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 13TH AVE
BELLE FOURCHE SD
57717-2215
US

IV. Provider business mailing address

PO BOX 142
TEN SLEEP WY
82442-0142
US

V. Phone/Fax

Practice location:
  • Phone: 605-892-3331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: