Individual provider · Type 1 NPI

Kenadee Ellefsen

Occupational Therapist · Boise, ID

NPI number 1689506735 Active

Practice location

1835 N Wildwood St
Boise, ID 83713-5146

Call (877) 200-8152 Map

Mailing address

894 Everett Pl Apt 3
Rexburg, ID 83440-5450

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X9981107 (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 1689506735

Kenadee Ellefsen's National Provider Identifier is 1689506735, issued on Jun 2, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boise, ID. The record was last updated on Jun 2, 2026.