# TRAILHEAD THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528946951
- **Authorized official:** WOODY KESSLER (SECRETARY)
- **Authorized official phone:** (208) 631-7366

## Contact information

- **Practice address:** 926 W RANCH RD, BOISE, ID 83702-1438
- **Practice address phone:** (208) 631-7366
- **Mailing address:** 926 W RANCH RD, BOISE, ID 83702-1438
- **Mailing address phone:** (208) 631-7366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2025
- **Last updated:** 08/25/2025