NPI 1366276040
Matlyn Bentz, COTAL
Practice location
- Address
- 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237
- Phone
- (208) 535-1286
- Mailing address
- 707 S 5th W APT 3502, Rexburg, ID 83440-5222
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1366276040
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Aug 2024
- Record last updated
- 27 Aug 2024
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.