TINA RENEE WAYLAND FULLER COTA/L
NPI 1922420736
Occupational Therapy Assistant in Mt Home, ID
About Tina Renee Wayland Fuller Cota/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA RENEE WAYLAND FULLER COTA/L (NPI 1922420736) is an individual occupational therapy assistant in Mt Home, Idaho, licensed in Idaho (OTA-1095) and active in the NPI registry since January 2014.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNTAIN HOME, ID 83647
MOUNTAIN HOME, ID 83647
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tina Wayland Fuller's NPI number?
The NPI number for Tina Wayland Fuller is 1922420736. It was assigned to this individual provider in the NPPES registry on January 13, 2014. The provider is also known as Tina Renee Smith Cota/L.
Where is Tina Wayland Fuller located?
Tina Wayland Fuller practices at 895 N 6th E, Mt Home, ID 83647. The listed phone number is (208) 580-9806.
What is Tina Wayland Fuller's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Tina Wayland Fuller was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.