Individual
MR. KENNETH J. COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
8211 W USTICK RD, BOISE, ID 83704-5756
(208) 375-3700
(208) 375-3760
Mailing address
3746 N TIPTON PL, MERIDIAN, ID 83646-6309
(208) 484-5050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-098
ID
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us