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

Taylor L. Mitzel

Individual provider Occupational Therapy Assistant · NPI 1790374445

Taylor L. Mitzel is an Occupational Therapy Assistant in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

2127 W Overland Rd
Boise, ID 83705-3149
Phone: (208) 321-4898
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA-2051 (ID)

Record details

NPI number1790374445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address3275 W Haley Dr, Eagle, ID 83616-3370

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