Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ALAN HENSLEE, COTA
Active Sole ProprietorMATTHEW ALAN HENSLEE, COTA is a Nursing Facility/Intermediate Care Facility healthcare provider located in BOISE, Idaho. NPI 1558579979 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · BOISE, ID
Registration Details
- NPI Number
- 1558579979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.210849099729 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OTA185 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1130 ALLUMBAUGH STBOISE, ID, 837048700Browse ID providers · Browse ZIP 83704
- Phone
- 2088548517
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
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.