Individual provider · Type 1 NPI

Kenneth Wayne Smith, COTA/L

Occupational Therapy Assistant · Boise, ID

NPI number 1740563634 Active

Practice location

12046 W Spring River Ct
Boise, ID 83709-5160

Call (208) 968-4302 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-1091 (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 1740563634

Kenneth Wayne Smith, COTA/L's National Provider Identifier is 1740563634, issued on Sep 27, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Boise, ID. The record was last updated on Sep 27, 2011.