NPI 1174165518

Kayla Judy Bohman, OT

Practitioner Occupational Therapist Chubbuck, ID

Practice location

Address: 240 W Burnside Ave STE D, Chubbuck, ID 83202-4703
Phone: (208) 904-1112
Fax: (866) 818-2688

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT-2131 (ID)

Other Occupational Therapist providers in Idaho →

Registry record

NPI: 1174165518
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2019
Record last updated: 16 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.