Melanie Moats, COTA

NPI 1700599115 · on the registry since 2022 · sole proprietor

Practice

Address: 270 S Orchard St Ste B
Boise, ID 83705
Phone: (205) 908-6116
Fax: (208) 908-0486
Organisation at this address: Life Thrive Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho