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

Kristen Russell, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1013246669

Kristen Russell, COTA/L is an Occupational Therapy Assistant in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009
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

3169 S Bown Way
Boise, ID 83706-5400
Phone: (208) 433-9152
Fax: (208) 344-4752
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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-094 (ID)

Record details

NPI number1013246669
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedDecember 10, 2009
Last updated in NPPESDecember 10, 2009

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