Individual provider · Type 1 NPI

Kaneshia Jade Nelson, COTA/L

Occupational Therapy Assistant · Eagle, ID

NPI number 1730644071 Active

Practice location

449 S Fitness Pl
Eagle, ID 83616-6828

Call (208) 957-6301 Map

Mailing address

12098 W Tio Leo Ct
Boise, ID 83709-2289

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-1731 (ID)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1730644071

Kaneshia Jade Nelson, COTA/L's National Provider Identifier is 1730644071, issued on Jan 31, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Eagle, ID. The record was last updated on Jan 31, 2019.