Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILLA STICE
Active Sole ProprietorILLA STICE is a Occupational Therapy Assistant healthcare provider located in BOISE, Idaho. NPI 1144635129 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BOISE, ID
Registration Details
- NPI Number
- 1144635129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2014 (12.163230449444 yrs)
- Last Updated
- Jun 27, 2014
- License
-
OTA-1151 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3812 N TAMARACK DRBOISE, ID, 837034556Browse ID providers · Browse ZIP 83703
- Phone
- 3072870356
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MISS REMICK LEI HARDY | COTA | 1932316759 |
| MRS. SARAH L. YODER | B.S.,COTA | 1083815211 |
| GINA M CROCKFORD | COTA | 1598928228 |
| KRISTEN RUSSELL | COTA/L | 1013246669 |
| CRYSTAL HELDER | COTA, CMT | 1821320698 |
| KENNETH WAYNE SMITH | COTA/L | 1740563634 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.