Healthcare Provider Details

I. General information

NPI: 1366375560
Provider Name (Legal Business Name): MAREN RUHTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1087 E PARK BLVD STE 100
BOISE ID
83712-7722
US

IV. Provider business mailing address

9219 S PALENA PL
KUNA ID
83634-4848
US

V. Phone/Fax

Practice location:
  • Phone: 208-584-6130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: