Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANESHIA JADE NELSON, COTA/L
ActiveKANESHIA JADE NELSON, COTA/L is a Occupational Therapy Assistant healthcare provider located in EAGLE, Idaho. NPI 1730644071 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · EAGLE, ID
Registration Details
- NPI Number
- 1730644071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2019 (7.4933725558528 yrs)
- Last Updated
- Jan 31, 2019
- License
-
OTA-1731 (ID)
Practice Information
- Address
-
449 S FITNESS PLEAGLE, ID, 836166828Browse ID providers · Browse ZIP 83616
- Phone
- 2089576301
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| DEBBIE JOY ALDRICH | COTA/L | 1720308588 |
| PATRICK DALE RUCH | COTA/L | 1093113995 |
| LORI COATE | COTA | 1386002202 |
| WKL EDGERLY | COTA/L | 1619335502 |
| JESSICA HILL | COTA/L | 1902264880 |
| RACHEL HARRINGTON | — | 1447618368 |
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.