Search › Idaho › 224Z00000X
Kenneth Smith, COTA/L
NPI 1740563634 · on the registry since 2011
Practice
- Address
- 12046 W Spring River Ct
Boise, ID 83709 - Phone
- (208) 968-4302
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-27
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