Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lullaby Waters PLLC

Organization Occupational Therapist · NPI 1114342755

Lullaby Waters PLLC is an Occupational Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1410 S Broadway Ave
Boise, ID 83706-3706
Phone: (208) 949-3481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-1014 (ID)

Record details

NPI number1114342755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Nickell — Owner · (208) 949-3481
NPI enumeratedFebruary 19, 2014
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021
Mailing address179 E Old Saybrook Dr, Boise, ID 83706-4918

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