Individual provider · Type 1 NPI

Kathryn Broderius, MOT

Occupational Therapist · Middleton, ID

NPI number 1154074508 Active

Practice location

316 E 1st St
Middleton, ID 83644-6159

Mailing address

3700 E Downs Ave
Nampa, ID 83686-1385

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200XOT-2455 (ID)
Occupational Therapist Primary 225X00000XOT-2455 (ID)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1154074508

Kathryn Broderius, MOT's National Provider Identifier is 1154074508, issued on Jan 26, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Middleton, ID. The record was last updated on Jan 26, 2022.