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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH WAYNE SMITH, COTA/L

Active

KENNETH WAYNE SMITH, COTA/L is a Occupational Therapy Assistant healthcare provider located in BOISE, Idaho. NPI 1740563634 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BOISE, ID

Registration Details

NPI Number
1740563634
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2011 (14.840372185732 yrs)
Last Updated
Sep 27, 2011
License
OTA-1091 (ID)

Practice Information

Address
12046 W SPRING RIVER CT
BOISE, ID, 837095160
Browse ID providers · Browse ZIP 83709
Phone
2089684302
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
MRS. JEANETTE A OLSON COTA/L 1619243151
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.