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

Kenadee Ellefsen

Individual provider Occupational Therapist · NPI 1689506735

Kenadee Ellefsen is an Occupational Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

1835 N Wildwood St
Boise, ID 83713-5146
Phone: (877) 200-8152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 9981107 (ID)

Record details

NPI number1689506735
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

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