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

Individual provider Nursing Facility/Intermediate Care Facility · NPI 1558579979

Matthew Alan Henslee, COTA is a Nursing Facility/Intermediate Care Facility in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1130 Allumbaugh St
Boise, ID 83704-8700
Phone: (208) 854-8517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence OTA185 (ID)

Record details

NPI number1558579979
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 8, 2007