Individual
KELSEY LYNN NUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
(208) 321-4859
Mailing address
308 CEDAR PARK LN, NAMPA, ID 83686-8476
(208) 948-0077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTAL-2773
ID
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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