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

Mr. Eli Wallace Hanks, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1457872202

Mr. Eli Wallace Hanks, COTA/L is an Occupational Therapy Assistant in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
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

3111 Channing Way
Idaho Falls, ID 83404-7534
Phone: (208) 529-0067
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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-1511 (ID)

Record details

NPI number1457872202
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJuly 2, 2017
Last updated in NPPESJuly 21, 2022

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