Jennifer Brazee, OTR/L
Individual provider Active NPI Occupational Therapist · Kuna, ID
NPI 1194170068 · NPPES record last updated Apr 28, 2016
Key facts
- NPI
- 1194170068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-1038 (ID)
- Practice address
- 330 Lil Robert CT
Kuna, ID 83634-5075 - Phone
- (208) 908-2976
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1038 | ID | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-1038 | ID | Yes |
Addresses
Primary practice location
330 Lil Robert CT
Kuna, ID 83634-5075
Mailing address
330 Lil Robert CT
Kuna, ID 83634-5075
Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.