Individual provider · Type 1 NPI

Jaclyn Nicole Bush, OTR/L

Occupational Therapist · Boise, ID

NPI number 1174991137 Active

Practice location

7960 W Rifleman St
Boise, ID 83704-9064

Call (208) 377-1310 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X102746 (AK)

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 1174991137

Jaclyn Nicole Bush, OTR/L's National Provider Identifier is 1174991137, issued on Sep 8, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boise, ID. The record was last updated on Oct 23, 2026.