IndividualActive
Kevin Lynn, COTA
NPI 1447594064 · Feeding, Eating & Swallowing Occupational Therapy Assistant · Payette, ID
Provider details
- NPI number
- 1447594064
- Entity type
- Individual
- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
Practice location
1019 3rd Ave S
Payette, ID 83661-2832
Phone: (208) 642-4455
Fax: (208) 642-1315
Mailing address
808 Sw 8th St
Fruitland, ID 83619-2527
Registry dates
- Enumerated
- 2012-11-20
- Last updated
- 2012-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.