Healthcare Provider Details

I. General information

NPI: 1598910200
Provider Name (Legal Business Name): RENE THOMAS SMEY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENE CHRISTINE THOMAS OTR/L

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 W 7TH ST # 2C
KETCHUM ID
83340-7752
US

IV. Provider business mailing address

PO BOX 6727
KETCHUM ID
83340-6727
US

V. Phone/Fax

Practice location:
  • Phone: 208-428-8444
  • Fax:
Mailing address:
  • Phone: 208-428-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-1602
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: