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

Kenneth Wayne Smith, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1740563634

Kenneth Wayne Smith, COTA/L is an Occupational Therapy Assistant in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

12046 W Spring River Ct
Boise, ID 83709-5160
Phone: (208) 968-4302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA-1091 (ID)

Record details

NPI number1740563634
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESSeptember 27, 2011
Mailing address12046 W Spring River Ct, Boise, ID 83709-5160

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