Healthcare Provider Details

I. General information

NPI: 1750200754
Provider Name (Legal Business Name): NATALIE STEILLING COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6270 N GOVERNMENT WAY
DALTON GARDENS ID
83815-9214
US

IV. Provider business mailing address

1122 E 4TH AVE APT 304
POST FALLS ID
83854-4016
US

V. Phone/Fax

Practice location:
  • Phone: 208-666-0611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: