Individual provider · Type 1 NPI
Timothy Cleveland
Prosthetist · Boise, ID
NPI number
1417870130
Active
Practice location
2109 W Jefferson St
Boise, ID 83702-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist Primary | 224P00000X | CPO03999 (ID) |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Other prosthetist providers in Boise
About NPI 1417870130
Timothy Cleveland's National Provider Identifier is 1417870130, issued on Jul 31, 2026. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Boise, ID. The record was last updated on Jul 31, 2026.