Individual
MRS. MICHAELA AINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1701 DISCOVERY PL, NAMPA, ID 83686-7179
(208) 398-3352
Mailing address
443 E JARVIS ST, MERIDIAN, ID 83642-2681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2171
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434509
NBCOT REGISTRATION
—
01
—
OT-2171
OTR/L IDAHO STATE LICENSE
ID
Enumeration date
03/08/2020
Last updated
03/16/2026
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