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

Timothy Cleveland

Individual provider Prosthetist · NPI 1417870130

Timothy Cleveland is a Prosthetist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

2109 W Jefferson St
Boise, ID 83702-4927
Phone: (208) 918-5768
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CPO03999 (ID)

Record details

NPI number1417870130
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2026
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address2109 W Jefferson St, Boise, ID 83702-4927

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