Russell, Kristen

Russell, Kristen is an individual health care provider with primary practice located at 3169 S Bown Way , Boise ID 83706-5400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Russell, Kristen can be contacted via phone (208) 433-9152.

Contact Information

Primary practice address
3169 S Bown Way Boise ID 83706-5400
Phone: (208) 433-9152
Fax: (208) 344-4752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA-094 Idaho

Profile Details

NPI number 1013246669
LBN Legal business name Russell, Kristen
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2009
Last updated Dec 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers